| Doctor Name: | MRS. CHRISTINE BEALL BROUSSARD |
| NPI Number: | 1174813679 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 3161 |
| Business Practice Address: | 8109 Interstate 30 Little Rock, AR - 722094840 |
| Business Phone Number: | 5015625400 |
| Business Fax Number: | 5015628577 |
| Mailing Address: | 12611 Timber Hill Dr, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722113392 |
| Phone Number: | 5015625400 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2011 |
| NPI Last Update Date: | 04/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |