Thomas Broback, DPT, CSCS
NPI #1063930493 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1063930493
- Entity Type
- Individual
- Name
- Thomas Broback, DPT, CSCS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist - Orthopedic
- Credential
- DPT, CSCS
- Enumeration Date
- Sep 6, 2017
- Last Updated
- Feb 20, 2020
Practice Location
- Address
- 14382 60TH ST N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6311
- Phone
- (651) 342-0509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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