MRS. Carla R Breazeal, COTA

NPI #1043503592 in Sweetwater, Texas

Provider Information

NPI Number: 1043503592
Entity Type: Individual
Name: MRS. Carla R Breazeal, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: COTA
Enumeration Date: May 17, 2011
Last Updated: May 17, 2011

Practice Location

Address: 1201 JOSEPHINE ST
City: Sweetwater
State: Texas
ZIP Code: 79556-3418
Phone: (832) 585-7940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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