DEIDRA E BRODERICK

ADVANCE PHYSICAL THERAPY AND WELLNESS INC

Dr DEIDRA E BRODERICK is a female medical professional, specializing in Physical Therapy. She graduated in 2018.

Contact

ADVANCE PHYSICAL THERAPY AND WELLNESS INC

13830 58TH ST N
SUITE 409
CLEARWATER
FL
337603720

Tel: 7275321900

DEIDRA E BRODERICK Information

Npi 1760949341
Pac Id 0840533543
Professional Enrollment Id I20190521001919
Last Name BRODERICK
First Name DEIDRA
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCE PHYSICAL THERAPY AND WELLNESS INC
Group Practice Pac Id 5294787735
Number Of Group Practice Members 6
Line 1 Street Address 13830 58TH ST N
Line 2 Street Address SUITE 409
Marker Of Address Line 2 Suppression
City CLEARWATER
State FL
Zip Code 337603720
Phone Number 7275321900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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