Individual provider · Type 1 NPI
Philomena C. Broussard, DPT, MPHA, BSPT
Specialist · Pascagoula, MS
NPI number
1407923998
Active
Practice location
2838 Andrew Ave
Pascagoula, MS 39567-1802
Fax (228) 762-2365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | PT0308 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Pascagoula
About NPI 1407923998
Philomena C. Broussard, DPT, MPHA, BSPT's National Provider Identifier is 1407923998, issued on Nov 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pascagoula, MS. The record was last updated on Jul 8, 2007.