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1780236141
BREELYN NOEL KIDD
GREENWOOD, SC
NPI
1780236141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 4883)
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
BREELYN NOEL KIDD COTA/L
104 MAXWELL AVE STE 312
GREENWOOD, SC 29646-2641
Phone number: 864-229-7529
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Mailing Address
BREELYN NOEL KIDD COTA/L
104 MAXWELL AVE STE 312
GREENWOOD, SC 29646-2641
Phone number: 864-229-7529
Copy
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