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Ina Broadaway, PTA
NPI 1750689923 · on the registry since 2011
Practice
- Address
- 1801 Champlin Dr
Apt. 1206
Little Rock, AR 72223 - Phone
- (870) 758-0154
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-11
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 Arkansas