Individual
DR. BLAISE F. BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
1085 LANDRENEAU ST, WASHINGTON, LA 70589-9102
(337) 348-9950
Mailing address
309 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 462-6097
(337) 462-0531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
10/05/2018
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