AMANDA BREITENBACH

PORT ORANGE, FL
NPI1205449717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  SI61076397)
Enumeration Date2020-08-25
Last Update Date2020-08-25
Business Address
AMANDA BREITENBACH
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128-8311
Phone number: 888-265-2680
Mailing Address
AMANDA BREITENBACH
574 HILLDALE CIR
MILFORD, MI 48381-2330
Phone number: