IndividualActive
Breanna Rose, COTA/L
NPI 1922766369 · Occupational Therapy Assistant · Richmond Hill, GA
Provider details
- NPI number
- 1922766369
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA002692 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
127 Carter St
Richmond Hill, GA 31324-3753
Phone: (910) 750-5989
Approximate (ZIP-level) locationGet directions
Mailing address
800 Preserve Ave E Apt 8307
Port Royal, SC 29935-2605
Registry dates
- Enumerated
- 2021-12-02
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.