Individual
MRS. SANDRA KAY BROUGHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5114 BALCONES WOODS DR, #306, AUSTIN, TX 78759
(512) 794-8863
(512) 795-0688
Mailing address
4005 ETON LN, AUSTIN, TX 78727
(512) 821-9935
(512) 795-0688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
207738
TX
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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