Individual
LAUREN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 SHERIDAN PARK CIR STE E, BLUFFTON, SC 29910-7023
(843) 757-5566
Mailing address
1297 INDIANA AVE, THORSBY, AL 35171
(205) 217-9091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CPO37146T
SC
225100000X
Physical Therapist
Primary
PTH12105
AL
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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