Individual
MS. CAMILLA JEAN BREACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
333 AVENUE S, VCP, BROOKLYN, NY 11223
(718) 376-8311
(718) 645-6454
Mailing address
131-34 133RD STREET, SOUTH OZONE PARK, NY 11420-3425
(718) 659-4923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0115181
NY
Other
Enumeration date
12/04/2007
Last updated
04/05/2026
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