Individual
BEVERLY ANN BREECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2001 RIDGEWOOD DR, SALEM, VA 24153
(540) 378-4120
Mailing address
3109 HONEYWOOD LN, ROANOKE, VA 24018-8869
(540) 989-7031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
985315
VA
Other
Enumeration date
03/26/2007
Last updated
08/19/2009
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