Individual
KAREN ELIZABETH BROSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 WALMART DR STE 5, MORRILTON, AR 72110-4525
(501) 733-7597
Mailing address
100 WALMART DR STE 5, MORRILTON, AR 72110-4525
(501) 733-7597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AR
Enumeration date
09/13/2017
Last updated
09/13/2017
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