Individual
JOHN JOSEPH BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 981-9182
(337) 988-3441
Mailing address
2115 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 981-9182
(337) 988-3441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09615
LA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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