Individual
MISS NATALIE MARIE BREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
140 POMEGRANATE CV, KYLE, TX 78640-6302
(512) 797-6165
Mailing address
140 POMEGRANATE CV, KYLE, TX 78640-6302
(512) 797-6165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216503
TX
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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