Harlie Breck, COTA/L

NPI #1467922807 in Garretson, South Dakota

Provider Information

NPI Number: 1467922807
Entity Type: Individual
Name: Harlie Breck, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prevention Professional
Credential: COTA/L
Enumeration Date: Nov 28, 2018
Last Updated: Nov 28, 2018

Practice Location

Address: 920 4TH ST
City: Garretson
State: South Dakota
ZIP Code: 57030-5703
Phone: (605) 594-3466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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