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Contact Information

CLEON S BROUSSARD, PT
9224 BRAMBLE RD
TECUMSEH, MI49286-8712
 Phone: 517-438-2169
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Neurology

2251N0400X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CLEON S BROUSSARD · (Female)

NPI # 1013992577
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/07/2005
Last updated 11/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501007019
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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