Individual
BREANNE MARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
201 WOOD ST, SISTERSVILLE, WV 26175-1523
(304) 652-1032
Mailing address
201 WOOD ST, SISTERSVILLE, WV 26175-1523
(304) 652-1032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1469
WV
Other
Enumeration date
08/26/2009
Last updated
12/29/2022
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