Individual
MATTHEW BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8230 SPANISH FORT BLVD STE 400, SPANISH FORT, AL 36527-5246
(423) 238-7217
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8656
TN
225100000X
Physical Therapist
Primary
PTH7433
AL
Other
Enumeration date
06/09/2010
Last updated
12/16/2021
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