Individual
MR. ROGER LEE BROOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11918 SPRINGRIDGE DR, FORT SMITH, AR 72916-8189
(479) 649-9558
Mailing address
11918 SPRINGRIDGE DR, FORT SMITH, AR 72916-8189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1639
OK
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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