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Individual
PATRICIA L BROSTROM
Active
Individual
PATRICIA L BROSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11730
NC
2251P0200X
Pediatric Physical Therapist
11730
NC
2251S0007X
Sports Physical Therapist
11730
NC
2251X0800X
Orthopedic Physical Therapist
11730
NC
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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