Individual
DR. CHRISTOPHER BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
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
Update your record
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