Individual
MS. PAMELA J. BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4458
Mailing address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
(785) 350-4458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00018
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-00018
STATE OT LICENSE
KS
Enumeration date
07/23/2006
Last updated
07/13/2007
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