Broderius, Kathryn

Broderius, Kathryn is an individual health care provider with primary practice located at 316 E 1St St , Middleton ID 83644-6159. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Broderius, Kathryn can be contacted via phone (208) 654-6161.

Contact Information

Primary practice address
316 E 1St St Middleton ID 83644-6159
Phone: (208) 654-6161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT-2455 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-2455 Idaho

Profile Details

NPI number 1154074508
LBN Legal business name Broderius, Kathryn
Credentials MOT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 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.

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