Individual
BREANNA MARIE TRUEBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
103 BRANDONSHIRE LN, BONAIRE, GA 31005-3166
(478) 213-5018
Mailing address
103 BRANDONSHIRE LN, BONAIRE, GA 31005-3166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.6969OT
SC
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT008124
GA
Other
Enumeration date
06/16/2023
Last updated
08/30/2023
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