Individual
ANDREA M BREAZEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
Mailing address
4 INDIAN ROCK CT, NORTH AUGUSTA, SC 29841-5214
(803) 215-1922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4452
SC
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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