| John Broussard, | |
|
620 N Morrison Blvd Ste G, Hammond, LA 70401-2312 | |
| (985) 543-4113 | |
| Not Available |
| Full Name | John Broussard |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 620 N Morrison Blvd Ste G, Hammond, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063648889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1218 (Louisiana) | Primary |
| 2251H1300X | Physical Therapist - Human Factors | 01218 (Louisiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| John Broussard, 620 N Morrison Blvd Ste G, Hammond, LA 70401-2312 Ph: (985) 543-4113 | John Broussard, 620 N Morrison Blvd Ste G, Hammond, LA 70401-2312 Ph: (985) 543-4113 |
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