Individual
CHRISTOPHER JOSEPH BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-5364
Mailing address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-5364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2841
NC
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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