Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVAJO S. BROADWATER, PT
ActiveREVAJO S. BROADWATER, PT is a Physical Therapy Assistant healthcare provider located in VALDOSTA, Georgia. NPI 1023111317 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · VALDOSTA, GA
Registration Details
- NPI Number
- 1023111317
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2006 (19.907003821039 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1473 (GA)
Practice Information
- Address
-
3537 NORTH CROSSING CIRCLEVALDOSTA, GA, 31602Browse GA providers · Browse ZIP 31602
- Phone
- 2293330095
- Fax
- 2293330756
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in VALDOSTA, GA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE KURRIE | MSPT | 1184605503 |
| MRS. ASHLEY BEARDEN FIELDING | PT | 1437111069 |
| MRS. JOY JOHNSON DORSETT | PT | 1114982279 |
| ROBERTUS WOLTERS | RPT | 1063456846 |
| MS. ELAINE D. GRIFFIN | P.T. | 1821023649 |
| MIKA P ALAKULPPI | PT | 1861419426 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.