Individual
MS. DENISE NICOLE BREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
38 PROSPECT AVE, CATSKILL, NY 12414-1514
(518) 943-5701
Mailing address
3202 ROUTE 145 # 2, PRESTON HOLLOW, NY 12469-1806
(518) 390-0045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007951-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007951-01
—
NY
Enumeration date
10/17/2021
Last updated
10/17/2021
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