Individual
BREANNE NICOLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3011 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 996-7160
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62412
OR
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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