Individual
DANA BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1700 REGENCY PKWY, CARY, NC 27518-8533
(225) 284-8739
Mailing address
3708 KNOLLCREEK DR, APEX, NC 27539-5735
(225) 284-8739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19645
NC
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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