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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEIDRA BRODERICK

Active

DEIDRA BRODERICK is a Physical Therapy Assistant healthcare provider located in LARGO, Florida. NPI 1760949341 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LARGO, FL

Registration Details

NPI Number
1760949341
Provider Type
Individual
Gender
Female
NPI Issued
Mar 1, 2019 (7.4570053056722 yrs)
Last Updated
May 11, 2021
Licenses
34389 (FL)
27995 (MD)

Practice Information

Address
14280 WALSINGHAM RD
LARGO, FL, 337743231
Browse FL providers · Browse ZIP 33774
Phone
7275962101
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LARGO, FL

Name Credential NPI
MRS. NADINE MARIE VERDEBOUT P.T., M.L.T. 1922003425
MR. FRANCIS L GOLDEN PT 1366410185
MR. JASON ANTHONY MARQUARDT PT 1851350193
MS. MARIETTA S DINOPOL PT 1265493696
MR. JOHN PAUL MELTON RPT 1649212622
MR. KOENRAAD J VAN DEN BROECK PT 1386686632
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.