Broquet, Madonna Marie

Broquet, Madonna Marie is an individual health care provider with primary practice located at 3516 Waukegan Rd , Mchenry IL 60050-5732. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Broquet, Madonna Marie can be contacted via phone (815) 271-5249.

Contact Information

Primary practice address
3516 Waukegan Rd Mchenry IL 60050-5732
Phone: (815) 271-5249
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.001738 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1441-19 Wisconsin

Profile Details

NPI number 1437439239
LBN Legal business name Broquet, Madonna Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Aug 24th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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