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Individual

MRS. JONI MARIE BREAUX

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
911 COUNTRY CLUB RD, SUITE 150, EUGENE, OR 97401
(541) 683-5139
(541) 683-5783
Mailing address
88899 KNIGHT ROAD, VENETA, OR 97487
(541) 935-2068

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7394
OR

Other

Enumeration date
04/21/2006
Last updated
07/08/2007
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