Organization
BREANNA BERGREN
Active
Other names
Breanna hardy
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA BERGREN OTR/L (REGISTERED OCCUPATIONAL THERAPIST)
(207) 249-9991
Entity
Organization
Contact information
Practice address
6936 S BLUEEYES DR, TUCSON, AZ 85756-5127
(207) 249-9991
Mailing address
6936 S BLUEEYES DR, TUCSON, AZ 85756-5127
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5930
AZ
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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