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Katrina Broussard
NPI 1043512239 · on the registry since 2010
Practice
- Address
- 10343 Siegen Ln
Baton Rouge, LA 70810 - Phone
- (225) 767-4440
- Fax
- (225) 767-4441
- Organisation at this address
- Medical Ink
3d Imaging Center
Dutch Physical Therapy, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 2251X0800X
2251X0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana