Individual
BREANNA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1039 WINDY GAP RD, ALEPPO, PA 15310-1404
(724) 447-2811
Mailing address
1039 WINDY GAP RD, ALEPPO, PA 15310-1404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1983
WV
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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