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Brian Paul Broussard, DPT
Sports Physical Therapist in St Petersburg, Florida
NPI 1750809448

Brian Paul Broussard is a Sports Physical Therapist based in St Petersburg, FL and is specialized in Sports. Brian Paul Broussard practices in St Petersburg, FL and has the professional credentials of DPT. The NPI Number for Brian Paul Broussard is 1750809448 and holds a License No. 1679719421 (Florida).

The current practice location address for Brian Paul Broussard is 111 2Nd Ave Ne Ste 1401, St Petersburg, FL and can be reached out via phone at 727-258-7224.

Location: 111 2Nd Ave Ne Ste 1401, St Petersburg, FL, 33701-3480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750809448
Provider Name
Brian Paul Broussard
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
111 2Nd Ave Ne Ste 1401, St Petersburg, FL, 33701-3480
Phone Number
727-258-7224
Fax Number
Provider Enumeration Date
09/02/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 2Nd Ave Ne Ste 1401
City
St Petersburg
State
Florida
Zip
33701-3480
Phone Number
727-258-7224
Fax Number
person
Provider Business Mailing Address Details
Address
111 2Nd Ave Ne Ste 1401
City
St Petersburg
State
Florida
Zip
33701-3480
Phone Number
727-258-7224
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
1679719421 (Virginia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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