Individual
ROXANN BREIDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
515 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-5400
Mailing address
402 SALINITY DR, GREENVILLE, KY 42345-1742
(270) 619-1405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
210923
TX
224Z00000X
Occupational Therapy Assistant
Primary
262620
KY
Other
Enumeration date
01/25/2019
Last updated
12/21/2021
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