Andrea Breaux, COTA
Individual provider Active NPI Occupational Therapy Assistant · Buzzards Bay, MA
NPI 1124895461 · NPPES record last updated Dec 6, 2023
Key facts
- NPI
- 1124895461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4937 (MA)
- Practice address
- 5422 Carpenter Ave
Buzzards Bay, MA 02542-1507 - Phone
- (210) 480-4279
- NPI assigned
- Dec 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4937 | MA | Yes |
Addresses
Primary practice location
5422 Carpenter Ave
Buzzards Bay, MA 02542-1507
Mailing address
5422 Carpenter Ave
Buzzards Bay, MA 02542-1507
Phone (210) 480-4279
Other providers in Buzzards Bay, MA
- Behavioral Connections
- Steven Graeme-Ian Berlin
- Hayley Bess
- Stephen Corey Bond
- Willes Todd Braxton
- Ann Briand
- Wayne Lee Burton
- Buzzards Bay Chiropractic, P.C.
- Buzzards Bay Opco LLC
- Kathleen Byrne
All providers in Buzzards Bay, MA · Occupational Therapy Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.