Dr Blaise F Broussard, PT, DPT is a
Physical Therapist based in Washington, Louisiana. Dr Blaise F Broussard is licensed to practice in * (Not Available) (license number ) and his current practice location is
1085 Landreneau St, Washington, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(337) 348-9950.
NPI number for Dr Blaise F Broussard is 1578690913 and his current mailing address is 309 S Washington St, Deridder, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578690913.
Healthcare Provider's Profile
| Full Name | Dr Blaise F Broussard |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1085 Landreneau St, Washington, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578690913
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 10/05/2018
Medical Identifiers
Medical identifiers for Dr Blaise F Broussard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578690913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Blaise F Broussard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Blaise F Broussard, PT, DPT 309 S Washington St, Deridder, LA 70634-4861 Ph: (337) 462-6097 | Dr Blaise F Broussard, PT, DPT 1085 Landreneau St, Washington, LA 70589-9102 Ph: (337) 348-9950 |
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