REVAJO S. BROADWATER

VALDOSTA, GA
NPI1023111317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  1473)
Enumeration Date2006-09-05
Last Update Date2007-07-08
Business Address
-- REVAJO S. BROADWATER PT
3537 NORTH CROSSING CIRCLE
VALDOSTA, GA 31602
Phone number: 229-333-0095
Mailing Address
-- REVAJO S. BROADWATER PT
3537 NORTH CROSSING CIRCLE
VALDOSTA, GA 31602
Phone number: 229-333-0095
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