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Individual

MRS. BREANNAH MARIE WATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
350 W LEHIGH ST APT 9, BETHLEHEM, PA 18018-5439
(610) 428-6077
Mailing address
350 W LEHIGH ST APT 9, BETHLEHEM, PA 18018-5439
(610) 428-6077

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018284
PA

Other

Enumeration date
04/12/2023
Last updated
04/19/2023
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