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Individual

KAREN C BREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
200 LONG ST, BOONEVILLE, MS 38829-4306
(662) 728-6234
Mailing address
154 LOWERY RD, MANTACHIE, MS 38855-8473
(662) 871-4416

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4749
MS

Other

Enumeration date
02/24/2011
Last updated
02/24/2011
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