Individual
MRS. BREANNE LYNN BEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2350 OAKDALE BLVD, CORALVILLE, IA 52241-9702
(319) 351-5437
(319) 351-5432
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002152
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665950
—
IA
Enumeration date
08/25/2011
Last updated
05/27/2021
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