Individual
DANIE LEEANN BREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12400 S HIWASSEE RD, OKLAHOMA CITY, OK 73165-7681
(405) 833-1013
Mailing address
608 KINGS MNR, MOORE, OK 73160-2533
(405) 898-9000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2507
OK
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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