DEBRA LYNN BRODERICK
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1417371840- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2410 W PLAZA DR, TALLAHASSEE, FL, 323085325
- Phone
- (850) 385-6185
- Fax
- (850) 385-2580
Specialties & Taxonomies
Physical Therapy Assistant
License: GA #PTA003216
Physical Therapy Assistant
Primary License: FL #PTA32057