Individual
MS. BRECCA LYNN MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1951 BAYOU GRANDE BLVD NE, SAINT PETERSBURG, FL 33703-1911
(727) 300-9471
Mailing address
1951 BAYOU GRANDE BLVD NE, SAINT PETERSBURG, FL 33703-1911
(727) 300-9471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT0633
AR
225X00000X
Occupational Therapist
Primary
OT13671
FL
Other
Enumeration date
08/31/2006
Last updated
11/23/2020
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