1114218872

Everything you always wanted to know about MS. BRESLIN JEAN BARBARA PTA but were afraid to ask.

MS. BRESLIN JEAN BARBARA PTA

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
MS. BRESLIN JEAN BARBARA PTA
Gender:
Female
Enumeration date:
2011-04-28
Last update date:
2011-04-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
225200000X Physical Therapy Assistant FL 20053 Y
225700000X Massage Therapist FL 42785 N

Phone Numbers

Type Number
Mailing Address Telephone Number 2392182577
Practice Location Address Telephone Number 2392182577

Addresses

Type Address City State Postal Country
Mailing Address 6102 AUGUSTA DR UNIT 108 FORT MYERS FL 33907 FL
Practice Location Address 6102 AUGUSTA DR UNIT 108 FORT MYERS FL 33907 FL