Broderson, Heather

Broderson, Heather is an individual health care provider with primary practice located at 650 E Indian School Rd Mh&Bss 116A1, Phoenix AZ 85012-1839. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Broderson, Heather can be contacted via phone (602) 277-5551.

Contact Information

Primary practice address
650 E Indian School Rd Mh&Bss 116A1 Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1841592482
LBN Legal business name Broderson, Heather
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2010
Last updated Dec 2nd, 2010 - about 14 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 1841592482 NPPES
Other 54587 CTRS

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