Marc Allen Broberg
Physical Therapist - Neurology
3418 Loma Vista Rd Suite A
Ventura
, California 93003-3016
Marc Allen Broberg
Physical Therapist - Neurology
3418 Loma Vista Rd Suite A
Ventura
, California 93003-3016
(805) 223-0508
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Marc Allen Broberg
- 3418 Loma Vista Rd Suite A
- Ventura, CA
- Zip : 93003-3016
- Phone : (805) 223-0508
Second Address
- Marc Allen Broberg
- 3418 Loma Vista Rd Suite A
- Ventura, CA
- Zip : 93003-3016
- Phone : (805) 223-0508
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 27877 | CA |
National Provider Identifier
| NPI | 1285910679 |
|---|---|
| Provider Name | Marc Allen Broberg |
| First Address | Ventura, CA 93003-3016 |
| Second Address | Ventura, CA 93003-3016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2011 |
| Last Update Date | 26/06/2012 |
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.