Individual
LAURA E BROUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7900 SE 28TH ST STE 102, MERCER ISLAND, WA 98040-2970
(206) 232-9045
(206) 232-8871
Mailing address
2231 32ND AVE S, SEATTLE, WA 98144-4953
(206) 723-3640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60749753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
08/18/2017
Last updated
08/18/2017
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