MR. James Keith Broussard, P.T.

NPI #1306821764 in Many, Louisiana

Provider Information

NPI Number: 1306821764
Entity Type: Individual
Name: MR. James Keith Broussard, P.T.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 8, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 295 HIGHLAND DR
City: Many
State: Louisiana
ZIP Code: 71449-3717
Phone: (318) 256-6285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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