Individual
BRECHE' JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 HIGHWAY 78 W, JASPER, AL 35501-3655
(205) 512-1260
Mailing address
3836 GREEN VALLEY DR, BIRMINGHAM, AL 35243-5824
(334) 450-3916
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6106
AL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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