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Beth Louise Broom

Physical Therapy Assistant in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1447747779
StatusActive
Last updated in NPPESApr 23, 2018

Details

NPI
1447747779
Entity type
Individual (NPI-1)
Name
Beth Louise Broom
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2018
Last updated
Apr 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant5502000141MIYes

Practice location

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

Phone 734-712-2412

Mailing address

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

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Other Physical Therapy Assistant providers in Ypsilanti, MI

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