CODY BROOM

Physical Therapy Assistant

Active Individual
NPI: 1720738099

Practice Address

11 PECAN DR
Columbia, MS 39429

Phone: (601) 731-5717

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes PTA7008 (MS)

Frequently Asked Questions

NPI 1720738099 is the National Provider Identifier for CODY BROOM, a Physical Therapy Assistant provider located in Columbia, MS. This NPI was enumerated on March 28, 2022.
CODY BROOM practices at 11 PECAN DR, Columbia, MS 39429.

Quick Facts

NPI
1720738099
Type
Individual
Enumerated
Mar 28, 2022
Last Updated
Jun 22, 2022

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