Individual
GABRIELLE ALYSSA BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2946 WINFIELD DUNN PKWY, STE 106, KODAK, TN 37764-4306
(865) 932-1088
(865) 932-1454
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10828
TN
Other
Enumeration date
06/09/2016
Last updated
04/12/2017
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