MR. JEROME BRODERICK, P.T.
Physical Therapist
Active
Individual
NPI: 1881691962
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 5501010335 (MI) |
Frequently Asked Questions
NPI 1881691962 is the National Provider Identifier for MR. JEROME BRODERICK, P.T., a Physical Therapist provider located in Grand Rapids, MI. This NPI was enumerated on July 5, 2005.
MR. JEROME BRODERICK, P.T. practices at 2911 KNAPP ST NE, SUITE C, Grand Rapids, MI 49525.
Quick Facts
- NPI
- 1881691962
- Type
- Individual
- Enumerated
- Jul 5, 2005
- Last Updated
- Mar 12, 2012
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