JOHN JOSEPH BROUSSARD

LAFAYETTE, LA
NPI1033645494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  09615)
Enumeration Date2017-05-04
Last Update Date2017-05-04
Business Address
-- JOHN JOSEPH BROUSSARD
2115 DULLES DR
LAFAYETTE, LA 70506-2652
Phone number: 337-981-9182
Mailing Address
-- JOHN JOSEPH BROUSSARD
2115 DULLES DR
LAFAYETTE, LA 70506-2652
Phone number: 337-981-9182
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