EDWARD RICHARD BROAD

WYLIE, TX
NPI1235152117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1152490)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Mr. EDWARD RICHARD BROAD MPT
611 W BROWN ST #101
WYLIE, TX 75098
Phone number: 972-442-5287
Mailing Address
Mr. EDWARD RICHARD BROAD MPT
611 W BROWN ST #101
WYLIE, TX 75098
Phone number: 972-442-5287