Individual provider · Type 1 NPI

Logan Broache

Physical Therapy Assistant · Mechanicsville, VA

NPI number 1790511087 Active

Practice location

7600 Autumn Park Way
Mechanicsville, VA 23116-3868

Call (804) 730-0009 Map

Mailing address

9499 Andrew Wickham Ln
Ashland, VA 23005-7666

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306606622 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1790511087

Logan Broache's National Provider Identifier is 1790511087, issued on Sep 12, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mechanicsville, VA. The record was last updated on Sep 12, 2024.