National Provider Identifier
Breanna Eyermann, COTA
Breanna Eyermann, COTA is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Kenmore, NY and a listed phone number of (716) 725-7163.
Profile Overview
- NPI
- 1114430261
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- November 13, 2017
- Last Updated
- November 13, 2017
Practice Location
- 283 Washington Ave
- Kenmore, NY 14217-1804
Phone: (716) 725-7163
Mailing Address
- 4711 Winding Woods Ln
- Hamburg, NY 14075-5457
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1114430261
- Entity Type
- Individual
- Last Name
- Eyermann
- First Name
- Breanna
- Name Prefix
- Mrs.
- Credential
- COTA
- Provider Other Last Name
- Parry
- Provider Other First Name
- Breanna
- Provider Other Credential Text
- COTA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4711 Winding Woods Ln
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5457
- Mailing Country
- US
- Practice Street Address
- 283 Washington Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1804
- Practice Country
- US
- Practice Phone
- (716) 725-7163
- Enumeration Date
- November 13, 2017
- Last Updated
- November 13, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)