Jonelle S Broaddus, DPT

NPI #1366508046 in Windsor, California

Provider Information

NPI Number: 1366508046
Entity Type: Individual
Name: Jonelle S Broaddus, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 28, 2006
Last Updated: Sep 2, 2024

Practice Location

Address: 8466 TRIONE CIR
City: Windsor
State: California
ZIP Code: 95492-7704
Phone: (808) 256-9522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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