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Individual

KATRINA D BROUSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10343 SIEGEN LN, BATON ROUGE, LA 70810-4979
(225) 767-4440
(225) 767-4441
Mailing address
5627 BANKERS AVE, BATON ROUGE, LA 70808-2610
(225) 927-3000
(225) 927-4183

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
07978
LA

Other

Enumeration date
11/22/2010
Last updated
11/22/2010
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