Lynn Breeden, OTR/L
Individual provider Active NPI Occupational Therapist · Vicksburg, MS
NPI 1699149591 · NPPES record last updated Nov 16, 2015
Key facts
- NPI
- 1699149591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT0681 (MS)
- Practice address
- 2008 Highland PL
Vicksburg, MS 39180-4555 - Phone
- (601) 529-2292
- NPI assigned
- Nov 16, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT0681 | MS | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT0681 | MS | Yes |
Addresses
Primary practice location
2008 Highland PL
Vicksburg, MS 39180-4555
Mailing address
2008 Highland PL
Vicksburg, MS 39180-4555
Phone (601) 529-2292
Other providers in Vicksburg, MS
- Courtney Boutwell
- Melissa Denise Bowman
- Rebecca Lauren Boyd
- Mary L Bozeman
- Steven Brasfield
- Brent Thomas DMD PA
- Catherine Brent
- Laura Jeanne Briggs
- Kara Brister
- Anna Jeanette Britt
All providers in Vicksburg, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2015. 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.