BRANDON JOSEPH BROUSSARD

LAKE CHARLES, LA
NPI1730704073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  10612)
Enumeration Date2020-06-12
Last Update Date2020-06-12
Business Address
BRANDON JOSEPH BROUSSARD DPT
208 W MCNEESE ST
LAKE CHARLES, LA 70605-5638
Phone number: 337-475-1053
Mailing Address
BRANDON JOSEPH BROUSSARD DPT
1322 ELTON RD STE I
JENNINGS, LA 70546-4100
Phone number:
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