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Individual

MRS. CHRISTINE BEALL BROUSSARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
8109 INTERSTATE 30, LITTLE ROCK, AR 72209-4840
(501) 562-5400
(501) 562-8577
Mailing address
12611 TIMBER HILL DR, LITTLE ROCK, AR 72211-3392
(501) 562-5400

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3161
AR

Other

Enumeration date
04/18/2011
Last updated
04/18/2011
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