Timothy Broadbent MS, PT

NPI 1972778124 - Physical Therapist - 225100000X

NPI Details
NPI 1972778124
Gender Male
Enumeration Date 04/29/2008
Last Updated 04/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
709 E MCCRACKEN RD
OZARK MO, 65721-9499, US
Phone (417) 581-0468
Fax
Business Location
709 E MCCRACKEN RD
OZARK MO, 65721-9499, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 107812
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According to our database, Timothy Broadbent MS, PT NPI is 1972778124, taxonomy code is 225100000X and license number is 107812, license state is located at Missouri. Timothy Broadbent MS, PT physically located at 709 E Mccracken Rd, Ozark MO, 65721-9499. NPI Number Timothy Broadbent MS, PT has the Individual type.

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1972778124 NPI number is provided on an as is basis without warranty of any kind. 1972778124 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Broadbent MS, PT are for informational purposes only.