Healthcare Provider Details

I. General information

NPI: 1548192164
Provider Name (Legal Business Name): HANNAH MARIE BREAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 ISLAND PARK DR STE C
DANIEL ISLAND SC
29492-8392
US

IV. Provider business mailing address

1344 MAXWELL ST
NORTH CHARLESTON SC
29405-4105
US

V. Phone/Fax

Practice location:
  • Phone: 843-640-5244
  • Fax:
Mailing address:
  • Phone: 423-534-7252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberSC10246
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: