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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417371840 | NPPES |
| Florida | Other | PTA32057 | FLORIDA BOARD OF PHYSICAL THERAPY |
| Florida | Other | PTA003216 | FLORIDA BOARD OF PHYSICAL THERAPY |
Popular Providers
-
Ferguson, Rodney Craig
2450 Tim Gamble Pl , Tallahassee FL 32308-4383 -
Rankin, Jessica L.
1650 Phillips Rd , Tallahassee FL 32308-5304 -
Manzo, Reinaldo
1607 Saint James Ct , Tallahassee FL 32308-5352 -
Croom, Joseph Michael
2648 Centennial Pl , Tallahassee FL 32308-0572 -
Schall, Stephen Matthew
2350 Phillips Rd Apt 3202, Tallahassee FL 32308-5346 -
Cooper, Crystal
3101 Ginger Dr , Tallahassee FL 32308-4437 -
Hamilton, Tonya Lynn
1812 Sherwood Dr , Tallahassee FL 32303-4432 -
Smith, Catherine Cleveland
5020 Riverwood Rd , Tallahassee FL 32303