Individual
DANA BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
511 ALDEN BRIDGE DR, CARY, NC 27519-8396
(984) 255-4105
Mailing address
511 ALDEN BRIDGE DR, CARY, NC 27519-8396
(984) 255-4105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P7612
NC
2251P0200X
Pediatric Physical Therapist
P7612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P7612
NORTH CAROLINA BOARD OF PHYSICAL THERAPY
NC
Enumeration date
10/02/2006
Last updated
08/23/2016
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