Debra Lynn Broderick

  • NPI 1417371840
According to our database, the NPI number for Debra Lynn Broderick is 1417371840 and activated since 10 years ago. Debra Lynn Broderick is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 300 Sunset Cir, Moultrie, GA 31768. You can also contact Debra Lynn Broderick via telephone number is (229) 985-2080. Provider NPI information was last updated on 02/05/2014.

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Overview of Debra Lynn Broderick

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/05/2014
  • Last updated: 02/05/2014

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: PTA003216
  • License State: GA

Provider Mailing Address

  • Address: 4099 Spain Ferry Rd
    Valdosta, GA 31601
  • Phone: 229-561-4767
  • Fax: 229-890-3397

Provider Practice Location

  • Address: 300 Sunset Cir
    Moultrie, GA 31768
  • Phone: 229-985-2080
  • Fax: 229-890-3397

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: PTA003216
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: PTA003216
  • Identifier Type: Other
  • Identifier State: GA
  • Issuer: PHYSICAL THERAPY ASSISTANT

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Debra Lynn Broderick?
  • A: The npi number for Debra Lynn Broderick is 1417371840.
  • Q: What are Debra Lynn Broderick's specialties?
  • A: Debra Lynn Broderick's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Debra Lynn Broderick?
  • A: The medical license number for Debra Lynn Broderick is PTA003216 and issued in GA in USA.
  • Q: Where is Debra Lynn Broderick practice location?
  • A: Debra Lynn Broderick is practicing at 300 Sunset Cir, Moultrie, GA 31768.
  • Q: How to contact Debra Lynn Broderick?
  • A: You can contact Debra Lynn Broderick via 229-985-2080.