Katrina D Broussard
Physical Therapist - Orthopedic
10343 Siegen Ln
Baton Rouge
, Louisiana 70810-4979
Katrina D Broussard
Physical Therapist - Orthopedic
10343 Siegen Ln
Baton Rouge
, Louisiana 70810-4979
(225) 927-4183
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Katrina D Broussard
- 5627 Bankers Ave
- Baton Rouge, LA
- Zip : 70808-2610
- Fax : (225) 927-4183
- Phone : (225) 927-3000
Second Address
- Katrina D Broussard
- 10343 Siegen Ln
- Baton Rouge, LA
- Zip : 70810-4979
- Fax : (225) 767-4441
- Phone : (225) 767-4440
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 07978 | LA |
National Provider Identifier
| NPI | 1043512239 |
|---|---|
| Provider Name | Katrina D Broussard |
| First Address | Baton Rouge, LA 70808-2610 |
| Second Address | Baton Rouge, LA 70810-4979 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2010 |
| Last Update Date | 22/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.