Individual
BREANNA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
448 W DONEGAN AVE, KISSIMMEE, FL 34741-2335
(407) 852-3300
Mailing address
12804 SWEET MAGNOLIAS LN, DOVER, FL 33527-4876
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16109
FL
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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