Cody Lee Broom
NPI #1902537723 in Collins, Mississippi
Provider Information
- NPI Number
- 1902537723
- Entity Type
- Individual
- Name
- Cody Lee Broom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 22, 2022
- Last Updated
- Jun 22, 2022
Practice Location
- Address
- 3261 HIGHWAY 49
- City
- Collins
- State
- Mississippi
- ZIP Code
- 39428-3876
- Phone
- (601) 921-6043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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