Individual
ALEXIS EMILY BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 40TH ST, BALTIMORE, MD 21211-2140
(410) 235-8860
Mailing address
11392 MINER RD, WEST WINFIELD, NY 13491-4324
(315) 335-0468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026265-01
NY
225X00000X
Occupational Therapist
09874
MD
225X00000X
Occupational Therapist
—
VA
Other
Enumeration date
04/07/2022
Last updated
01/29/2024
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