Elizabeth M Broughal

NPI #1891453023 in Herndon, Virginia

Provider Information

NPI Number: 1891453023
Entity Type: Individual
Name: Elizabeth M Broughal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 5, 2021
Last Updated: Dec 5, 2021

Practice Location

Address: 2978 CENTREVILLE RD # B20171
City: Herndon
State: Virginia
ZIP Code: 20171-6253
Phone: (703) 934-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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