Amanda Meyers Broughton, PTA

NPI #1194087056 in Canton, Illinois

Provider Information

NPI Number: 1194087056
Entity Type: Individual
Name: Amanda Meyers Broughton, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 15, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 865 N MAIN ST
City: Canton
State: Illinois
ZIP Code: 61520-1264
Phone: (309) 649-1572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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