Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. REBECCA KOHARA BROUSSARD, P.T., D.P.T.
Active Sole ProprietorDR. REBECCA KOHARA BROUSSARD, P.T., D.P.T. is a Physical Therapy Assistant healthcare provider located in DERIDDER, Louisiana. NPI 1720301187 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DERIDDER, LA
Registration Details
- NPI Number
- 1720301187
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2010 (16.387976539403 yrs)
- Last Updated
- Mar 12, 2010
- License
-
PT00504 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 S WASHINGTON STDERIDDER, LA, 706344861Browse LA providers · Browse ZIP 70634
- Phone
- 3374626097
- Fax
- 3374620531
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in DERIDDER, LA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMEY JOHNSON | PT | 1881653632 |
| TRACY WINKLEY | PT | 1750541777 |
| MS. KATHERN SUE HOLLIFIELD | R.P.T. | 1982835013 |
| DR. RUSSELL WARREN HEARNE | PT,DPT | 1508369737 |
| DR. CODY RAY LEBLANC | DPT, PT | 1568966323 |
| MR. MASON SHAW | DPT | 1245800051 |
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.