| NPI | 1477136133 |
|---|---|
| Doing Business As | BROADBENT REHAB LLC |
| Entity Type | Organization |
| Authorized Contact | TIM W BROADBENT Supervising Physical Therapist 417-880-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |