Individual
MICHELLE BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2316
Mailing address
19D GOVERNORS WAY, MILFORD, MA 01757-5113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20570
MA
225100000X
Physical Therapist
PT02663
RI
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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