Whalio Doctors

NPI 1922766369

Breanna Rose, COTAL

Practitioner Occupational Therapy Assistant Richmond Hill, GA

Practice location

Address
127 Carter St, Richmond Hill, GA 31324-3753
Phone
(910) 750-5989
Mailing address
800 Preserve Ave E APT 8307, Port Royal, SC 29935-2605

Registered specialties (2)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA002692 (GA)

Registry record

NPI
1922766369
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Dec 2021
Record last updated
2 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.