SearchMississippi174400000X

Philomena Broussard, DPT, MPHA, BSPT

NPI 1407923998 · on the registry since 2006

Practice

Address
2838 Andrew Ave
Pascagoula, MS 39567
Phone
(228) 762-2345
Fax
(228) 762-2365

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Mississippi