Broderick, Debra Lynn

Broderick, Debra Lynn is an individual health care provider with primary practice located at 2410 W Plaza Dr , Tallahassee FL 32308-5325. 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. Broderick, Debra Lynn can be contacted via phone (850) 385-6185.

Contact Information

Primary practice address
2410 W Plaza Dr Tallahassee FL 32308-5325
Phone: (850) 385-6185
Fax: (850) 385-2580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA003216 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA32057 Florida

Profile Details

NPI number 1417371840
LBN Legal business name Broderick, Debra Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2014
Last updated Jun 28th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417371840 NPPES
Florida Other PTA32057 FLORIDA BOARD OF PHYSICAL THERAPY
Florida Other PTA003216 FLORIDA BOARD OF PHYSICAL THERAPY

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