Doctor Name: | MRS. CAROLYN JANE BROOM |
NPI Number: | 1740594399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT0008155 |
Business Practice Address: | 7927 State Road 52 Hudson, FL - 346676783 |
Business Phone Number: | 7278635808 |
Business Fax Number: | |
Mailing Address: | 7927 State Road 52, HUDSON |
State: | FL |
Postal Code: | 346676783 |
Phone Number: | 7278635808 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2010 |
NPI Last Update Date: | 08/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0008155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |