Individual
MS. BRANDI LEE BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, MOTR/L
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 214-5578
(701) 222-3186
Mailing address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 214-5578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
908
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452036
—
ND
Enumeration date
03/29/2007
Last updated
12/18/2024
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