Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEROME DANIEL BRODERICK, P.T.
ActiveMR. JEROME DANIEL BRODERICK, P.T. is a Physical Therapy Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1881691962 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1881691962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2005 (20.926763086547 yrs)
- Last Updated
- Mar 12, 2012
- License
-
5501010335 (MI)
Practice Information
- Address
-
2911 KNAPP ST NESUITE CGRAND RAPIDS, MI, 495254600Browse MI providers · Browse ZIP 49525
- Phone
- 6169759078
- Fax
- 6169759248
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. ANNE MARIE PALMITIER | P.T. | 1962409086 |
| PAMELA SUE ALBRECHT | MSPT | 1780678482 |
| MR. PEARCE JACOB VANDER MEEDEN | PT | 1013908649 |
| TREY J KUBIZNA | D.P.T. | 1265411565 |
| MR. MATTHEW MCPHERSON | P.T. | 1871573436 |
| JASON LAW | PT | 1962479329 |
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.