BREANNA ROSE

RICHMOND HILL, GA
NPI1922766369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA002692)
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
BREANNA ROSE COTA/L
127 CARTER ST
RICHMOND HILL, GA 31324-3753
Phone number: 910-750-5989
Mailing Address
BREANNA ROSE COTA/L
800 PRESERVE AVE E APT 8307
PORT ROYAL, SC 29935-2605
Phone number: 910-750-5989