Broderick, Kimberly Suzanne
Broderick, Kimberly Suzanne is an individual health care provider with primary practice located at 7840 Fm 1960 Rd E Ste 408409 , Humble TX 77346-2259. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Broderick, Kimberly Suzanne can be contacted via phone (281) 812-6665.Contact Information
Primary practice address
7840 Fm 1960 Rd E Ste 408409
Humble TX 77346-2259
Phone: (281) 812-6665
Fax: (281) 812-6869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1-8578-5 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Texas | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1085785 | Texas |
Profile Details
| NPI number | 1134264187 |
|---|---|
| LBN Legal business name | Broderick, Kimberly Suzanne |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Dec 24th, 2020 - about 6 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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