Individual
CHRISTINA LYNN BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
106 PEARL DR STE 104, LA FAYETTE, GA 30728-7510
(706) 638-3880
(706) 638-3880
Mailing address
PO BOX 528, ROME, GA 30162-0528
(706) 528-4207
(706) 528-4211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009497
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229928909A
—
GA
05
—
229928909B
—
GA
Enumeration date
11/06/2008
Last updated
01/08/2024
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