Individual
MARY BREEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-3341
(763) 755-4275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201904
MN
Other
Enumeration date
11/23/2013
Last updated
12/11/2024
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