Individual
MR. CORY BREIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 MARGARET ST APT D, SOUTH PORTLAND, ME 04106-2049
(908) 752-7712
Mailing address
105 MARGARET ST APT D, SOUTH PORTLAND, ME 04106-2049
(908) 752-7712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3690
ME
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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