Individual
AUTUMN M BREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
43 S MAIN ST, MONTGOMERY, PA 17752-1120
(570) 547-0480
(570) 547-0498
Mailing address
43 S MAIN ST, MONTGOMERY, PA 17752-1120
(570) 547-0480
(570) 547-0498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017878210002
—
PA
Enumeration date
07/20/2007
Last updated
05/23/2008
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