Provider Demographics
NPI:1255222493
Name:HAAS, BREANNA MARIE (OTD)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:MARIE
Last Name:HAAS
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:BREANNA
Other - Middle Name:MARIE
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2021 DENISON ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1824
Mailing Address - Country:US
Mailing Address - Phone:469-274-7003
Mailing Address - Fax:
Practice Address - Street 1:2224 N CARROLL BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1834
Practice Address - Country:US
Practice Address - Phone:940-387-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist