Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAISE F. BROUSSARD, P.T., D.P.T.
Active Sole ProprietorDR. BLAISE F. BROUSSARD, P.T., D.P.T. is a Physical Therapy Assistant healthcare provider located in WASHINGTON, Louisiana. NPI 1578690913 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WASHINGTON, LA
Registration Details
- NPI Number
- 1578690913
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.442362248226 yrs)
- Last Updated
- Oct 5, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1085 LANDRENEAU STWASHINGTON, LA, 705899102Browse LA providers · Browse ZIP 70589
- Phone
- 3373489950
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.