Justin Broussard
Justin Broussard is a Physical Therapist in Dallas, Texas. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
Practice location Address checks out
1755 Wittington Pl Ste #175Dallas, TX 75234-1927
Phone: (214) 442-4470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT023970 (PA) |
|---|
Record details
| NPI number | 1639577505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 9, 2014 |
| Last updated in NPPES | December 9, 2014 |
| Mailing address | 1755 Wittington Pl, Ste. #175, Dallas, TX 75234-1927 |
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