Mary Alice Broyles, PTA

NPI #1649535634 in Madison, Alabama

Provider Information

NPI Number: 1649535634
Entity Type: Individual
Name: Mary Alice Broyles, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 6, 2012
Last Updated: Jul 6, 2012

Practice Location

Address: 8020 HIGHWAY 72 W
Address 2: SUITE C
City: Madison
State: Alabama
ZIP Code: 35758-9567
Phone: (256) 265-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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