Revajo S. Broadwater, PT
NPI #1023111317 in Valdosta, Georgia
Provider Information
- NPI Number
- 1023111317
- Entity Type
- Individual
- Name
- Revajo S. Broadwater, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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