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Individual

MS. KRIS T BREAULT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
VAPHCS, 7180 HIGHLAND DRIVE, PITTSBURGH, PA 15051
(412) 365-5855
Mailing address
319 GRANDVIEW DR, INDIANOLA, PA 15051-1005
(412) 767-0188

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
15977

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15977
CTRS
PA
Enumeration date
06/08/2006
Last updated
07/21/2022
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