Most Relevant Information
Provider Data
| NPI Number: | 1003225681 |
| Provider Name: | BREANNA CANCLINI OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0019X |
| Specialty: | Occupational Therapist |
| License Number: | 13439 |
Most Important Dates
| Enumeration Date: | 08/07/2014 |
| Last Updated: | 08/07/2014 |
Provider Practice Location
2690 HILLCREST DR
CAMERON PARK
CA
95682
Practice Location Phone/Fax
| Phone: | 5303918156 |
| Fax: |
Provider Mailing Location
2690 HILLCREST DR
CAMERON PARK
CA
95682
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |