Individual
DR. CHRISTOPHER BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
68 FRANKLIN DR, MIDDLETOWN, DE 19709-1730
(337) 842-1962
Mailing address
68 FRANKLIN DR, MIDDLETOWN, DE 19709-1730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25212
MD
225100000X
Physical Therapist
Primary
J1-0003435
DE
225100000X
Physical Therapist
PT023610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25212
MARYLAND PHYSICAL THERAPY LICENSE
MD
01
—
J1-0003435
DELAWARE PHYSICAL THERAPY LICENSE
DE
01
—
PT023610
PENNSYLVANIA PHYSICAL THERAPY LICENSE
PA
Enumeration date
02/27/2016
Last updated
02/27/2016
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