Organization
JOHN BROUSSARD ENTERPRISES LLC
Active
Other names
Onward Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J BROUSSARD PT, DPT (OWNER)
(337) 257-2311
Entity
Organization
Contact information
Practice address
101 NEWCASTLE DR, LAFAYETTE, LA 70503-4207
(337) 257-2311
Mailing address
101 NEWCASTLE DR, LAFAYETTE, LA 70503-4207
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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