Individual provider · Type 1 NPI

Elizabeth M. Broughal

Physical Therapy Assistant · Herndon, VA

NPI number 1891453023 Active

Practice location

2978 Centreville Rd # B20171
Herndon, VA 20171-6253

Mailing address

14830 Edman Cir
Centreville, VA 20121-4497

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306605921 (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 1891453023

Elizabeth M. Broughal's National Provider Identifier is 1891453023, issued on Dec 5, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Herndon, VA. The record was last updated on Dec 5, 2021.