Provider Demographics
NPI:1699049742
Name:BREIER, RICK A (COTA)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:A
Last Name:BREIER
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 MORELAND DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9132
Mailing Address - Country:US
Mailing Address - Phone:956-973-8400
Mailing Address - Fax:956-973-8403
Practice Address - Street 1:3501 MORELAND DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-9132
Practice Address - Country:US
Practice Address - Phone:956-973-8400
Practice Address - Fax:956-973-8403
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210801225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210801OtherSTATE BOARD OF EXAMINERS FOR OCCUPATIONAL THERAPY