Individual
MRS. DEBORA L BREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
45-691 KEAAHALA RD RM 30, KANEOHE, HI 96744-3569
(808) 233-5495
(808) 233-5494
Mailing address
45-691 KEAAHALA RD RM 30, KANEOHE, HI 96744-3569
(808) 233-5495
(808) 233-5494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 160
HI
225XP0200X
Pediatric Occupational Therapist
Primary
0T 160
HI
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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