Deanna Brocard

NPI #1447590211 in Fort Mohave, Arizona

Provider Information

NPI Number: 1447590211
Entity Type: Individual
Name: Deanna Brocard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 15, 2013
Last Updated: Feb 15, 2013

Practice Location

Address: 2112 E DESERT LAKES DR
City: Fort Mohave
State: Arizona
ZIP Code: 86426-6812
Phone: (562) 822-1198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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