Broyles, Trevor D
Broyles, Trevor D is an individual health care provider with primary practice located at 130 E Broad St , Camilla GA 31730-1809. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Broyles, Trevor D can be contacted via phone (229) 336-1115.Contact Information
Primary practice address
130 E Broad St
Camilla GA 31730-1809
Phone: (229) 336-1115
Fax: (229) 336-1151
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT015472 | Georgia |
Profile Details
NPI number | 1043985336 |
---|---|
LBN Legal business name | Broyles, Trevor D |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2021 |
Last updated | Aug 10th, 2021 - about 4 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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