Individual
MR. JUSTIN BRETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
16 WILLIAM POPE DR STE 204, BLUFFTON, SC 29909-7504
(912) 335-1650
Mailing address
2 MOSS CREEK CT, HILTON HEAD ISLAND, SC 29926-1100
(352) 262-4835
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6219
SC
225XP0200X
Pediatric Occupational Therapist
OT8940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z9784
BCBS OF FLORIDA
FL
Enumeration date
06/02/2006
Last updated
08/23/2025
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