Individual
MARY BROADBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
460 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4899
(928) 440-3106
Mailing address
51 PINE DEL DR, FLAGSTAFF, AZ 86005-9603
(973) 767-3671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8620
AZ
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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