Individual
MRS. MICHELLE BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
112 2ND ST NW, WAVERLY, IA 50677-2619
(319) 352-0102
(319) 352-0104
Mailing address
850 43RD AVE, SUITE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004823
IA
225100000X
Physical Therapist
PT27252
CA
Other
Enumeration date
08/31/2006
Last updated
08/08/2014
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