| NPI | 1265957211 |
|---|---|
| Former Name | AMANDA NICOLE BREEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00801800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC015161) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-07-27 |