Individual
FREDDIE SAMUEL BREAUX III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
120 WHITE ROSE DR, RACELAND, LA 70394-2644
(985) 532-9662
(985) 532-3942
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07219
LA
Other
Enumeration date
08/14/2007
Last updated
12/24/2015
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