REVAJO BROADWATER, PT
Physical Therapist
Active
Individual
NPI: 1023111317
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 1473 (GA) |
Frequently Asked Questions
NPI 1023111317 is the National Provider Identifier for REVAJO BROADWATER, PT, a Physical Therapist provider located in Valdosta, GA. This NPI was enumerated on September 5, 2006.
REVAJO BROADWATER, PT practices at 3537 NORTH CROSSING CIRCLE, Valdosta, GA 31602.
Quick Facts
- NPI
- 1023111317
- Type
- Individual
- Enumerated
- Sep 5, 2006
- Last Updated
- Jul 8, 2007
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