Individual
ANDREA BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5422 CARPENTER AVE, BUZZARDS BAY, MA 02542-1507
(210) 480-4279
Mailing address
5422 CARPENTER AVE, BUZZARDS BAY, MA 02542-1507
(210) 480-4279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4937
MA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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