Individual
MR. JAMES KEITH BROUSSARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
295 HIGHLAND DR, MANY, LA 71449-3717
(318) 256-6285
(318) 256-6658
Mailing address
295 HIGHLAND DR, MANY, LA 71449-3717
(318) 256-6285
(318) 256-6658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00257
LA
Other
Enumeration date
12/08/2005
Last updated
07/08/2007
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