Individual
MRS. GAYLE S BREZICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1351 ROBINWOOD RD, GASTONIA, NC 28054-1693
(704) 867-2319
Mailing address
162 KNOXVIEW LN, MOORESVILLE, NC 28117-9602
(704) 778-6364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11148
NC
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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