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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES JACKSON BREEDLOVE, PTA

Active

CHARLES JACKSON BREEDLOVE, PTA is a Occupational Therapist healthcare provider located in KNOXVILLE, Tennessee. NPI 1427620814 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · KNOXVILLE, TN

Registration Details

NPI Number
1427620814
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2021 (5.0556848838773 yrs)
Last Updated
Jul 14, 2021
License
PTA004344 (GA)

Practice Information

Address
10133 SHERRILL BLVD STE 200
KNOXVILLE, TN, 379323347
Browse TN providers · Browse ZIP 37932
Phone
8885312204
Fax
8552328604
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in KNOXVILLE, TN

Name Credential NPI
LADAWN WOLFE CARR PTA/ ATC 1285663690
MRS. DEANNA HALL COLE PTA 1619070075
MS. TERESA ANN BUTLER PTA 1790882058
MRS. VANESSA NICOLE HALL LPTA 1265532709
MR. JAMES MICHAEL ANDREWS PTA 1518058056
THOMAS CHARLES FORSYTHE PTA 1548355407
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.