Individual
MR. JAMES MICHAEL BROUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T., R.M.T.
Contact information
Practice address
6200 PFEIFFER RD, MONTGOMERY, OH 45242-5862
(513) 985-6772
Mailing address
6200 PFEIFFER RD, MONTGOMERY, OH 45242-5862
(513) 985-6772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019079 A-B
OH
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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