Organization
BROADBENT REHAB LLC
Active
Other names
BROADBENT REHAB LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM W BROADBENT MS, PT (SUPERVISING PHYSICAL THERAPIST)
(417) 880-5002
Entity
Organization
Contact information
Practice address
3550 E DELMAR ST, SPRINGFIELD, MO 65809-1440
(417) 880-5002
Mailing address
3550 E DELMAR ST, SPRINGFIELD, MO 65809-1440
(417) 880-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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