Healthcare Provider Details

I. General information

NPI: 1396649604
Provider Name (Legal Business Name): BREANNE FREESE OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 CORPORATE PARK DR
CINCINNATI OH
45242-3310
US

IV. Provider business mailing address

23078 SKY LN
LAWRENCEBURG IN
47025-8157
US

V. Phone/Fax

Practice location:
  • Phone: 513-586-3827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT013921
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: