Individual
COLLEEN M BROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
710 W 168TH ST STE 336, NEW YORK, NY 10032-3726
(917) 538-0199
Mailing address
39 DEVONSHIRE CT, MIDDLETOWN, NJ 07748-1815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02375400
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
072269
NY
Other
Enumeration date
09/10/2020
Last updated
01/05/2026
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