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Carissa Broughman, LPTA
NPI 1992268809 · on the registry since 2019
Practice
- Address
- 2901 Selma- Low Moor Rd
Low Moor, VA 24457 - Phone
- (540) 862-0068
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-08
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 Virginia