Cody Lee Broom Valid NPI
Individual provider · Physical Therapist · Collins, MS
- NPI
- 1902537723
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT7219 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-06-22
- Last updated
- 2022-06-22
Practice location
3261 Highway 49
Collins, MS 39428-3876
(601) 921-6043