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

BREELYN NOEL KIDD, COTA/L

Active

BREELYN NOEL KIDD, COTA/L is a Occupational Therapy Assistant healthcare provider located in GREENWOOD, South Carolina. NPI 1780236141 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · GREENWOOD, SC

Registration Details

NPI Number
1780236141
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2019 (7.084836396158 yrs)
Last Updated
Jul 15, 2019
License
4883 (SC)

Practice Information

Address
104 MAXWELL AVE STE 312
GREENWOOD, SC, 296462641
Browse SC providers · Browse ZIP 29646
Phone
8642297529
Fax
8642297530
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in GREENWOOD, SC

Name Credential NPI
DONNA SMITH WALDROP COTA L 1639277171
CONNIE ELAINE BURKHALTER COTA 1427267970
MRS. TARA ANN SIMMONS COTA/L 1487939112
KIMBERLY ETHEREDGE COTA/L 1528310380
MARIA LORENA WILSON COTA 1043657000
MAKEIA BRENEE BECK COTA 1134524945
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.