Philusa Chua Mcbroom, OTDR/L

NPI #1265869184 in Kingsland, Georgia

Provider Information

NPI Number: 1265869184
Entity Type: Individual
Name: Philusa Chua Mcbroom, OTDR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTDR/L
Enumeration Date: Oct 9, 2013
Last Updated: Jun 17, 2014

Practice Location

Address: 100B LINDSEY LANE
City: Kingsland
State: Georgia
ZIP Code: 31548
Phone: (912) 510-6104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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