Provider Demographics
NPI:1083714844
Name:BREAKFIELD, PATRICIA ROSE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ROSE
Last Name:BREAKFIELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 S TYLER ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1136
Mailing Address - Country:US
Mailing Address - Phone:253-759-3085
Mailing Address - Fax:
Practice Address - Street 1:9900 VETERANS DR SW
Practice Address - Street 2:VA PSHCS AL RCS 117
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0005
Practice Address - Country:US
Practice Address - Phone:253-583-1812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001520225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist