Individual
JULIE BROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18945 FM 2252, SUITE 115, GARDEN RIDGE, TX 78266-2562
(210) 564-6602
(210) 651-0029
Mailing address
18945 FM 2252, SUITE 115, GARDEN RIDGE, TX 78266-2562
(210) 564-6602
(210) 651-0029
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1222-019
WI
Other
Enumeration date
09/18/2007
Last updated
11/04/2010
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