Individual
JOANNE LYNN BROADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
140 W 6TH ST, SUITE 140, OSWEGO, NY 13126-2525
(315) 564-7700
Mailing address
140 W 6TH ST, SUITE 140, OSWEGO, NY 13126-2525
(315) 564-7700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
006082-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/30/2008
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