Individual
KRISTEN D. BREIMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2251 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546-2431
(616) 447-7799
(616) 447-7799
Mailing address
6604 BELLA VISTA DR NE, ROCKFORD, MI 49341-8441
(734) 748-7144
(734) 748-7144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006794
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2679020
—
MI
01
—
30435
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/28/2007
Last updated
02/25/2015
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