| Breanna Rae Pruitt, | |
|
34254 Rock House Rd, California, MO 65018 | |
| (573) 694-4454 | |
| Not Available |
| Full Name | Breanna Rae Pruitt |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 34254 Rock House Rd, California, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336836287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Rae Pruitt, Po Box 361, California, MO 65018-0361 Ph: (573) 694-4454 | Breanna Rae Pruitt, 34254 Rock House Rd, California, MO 65018 Ph: (573) 694-4454 |
Amanda Gorham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29371 Industrial Rd, California, MO 65018 Phone: 573-690-5850 | |
Bdm Associates Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 604a E Buchanan St, Suite A, California, MO 65018 Phone: 573-796-2279 Fax: 573-796-2308 |