Search › Pennsylvania › 1041C0700X
Larry Breedlove
NPI 1326179474 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1906 N Juniata St
Hollidaysburg, PA 16648 - Phone
- (814) 695-2984
- Fax
- (814) 695-2110
- Organisation at this address
- Soar For Life
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania