Provider Demographics
NPI:1972227502
Name:HELM, BREANNE MICHELLE (COTA)
Entity Type:Individual
Prefix:MRS
First Name:BREANNE
Middle Name:MICHELLE
Last Name:HELM
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20339 BRIGHT POINT CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-0504
Mailing Address - Country:US
Mailing Address - Phone:832-703-8059
Mailing Address - Fax:
Practice Address - Street 1:20339 BRIGHT POINT CT
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-0504
Practice Address - Country:US
Practice Address - Phone:832-703-8059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217001224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant