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Mrs. Philomena C Broussard, DPT,MPHA,BSPT
Specialist in Pascagoula, Mississippi
NPI 1407923998

Philomena C Broussard is a Specialist based in Pascagoula, MS. Philomena C Broussard practices in Pascagoula, MS and has the professional credentials of DPT,MPHA,BSPT. The NPI Number for Philomena C Broussard is 1407923998 and holds a License No. PT0308 (Mississippi).

The current practice location address for Philomena C Broussard is 2838 Andrew Ave, Pascagoula, MS and can be reached out via phone at 228-762-2345 and via fax at 228-762-2365.

Location: 2838 Andrew Ave, Pascagoula, MS, 39567-1802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407923998
Provider Name
Philomena C Broussard
Credential
DPT,MPHA,BSPT
Provider Entity Type
Individual
Gender
Female
Address
2838 Andrew Ave, Pascagoula, MS, 39567-1802
Phone Number
228-762-2345
Fax Number
228-762-2365
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2838 Andrew Ave
City
Pascagoula
State
Mississippi
Zip
39567-1802
Phone Number
228-762-2345
Fax Number
228-762-2365
person
Provider Business Mailing Address Details
Address
2838 Andrew Ave
City
Pascagoula
State
Mississippi
Zip
39567-1802
Phone Number
228-762-2345
Fax Number
228-762-2365
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT0308 (Mississippi)
Definition
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.
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