MRS. Kathryn Broderius, MOT

NPI #1154074508 in Middleton, Idaho

Provider Information

NPI Number: 1154074508
Entity Type: Individual
Name: MRS. Kathryn Broderius, MOT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT
Enumeration Date: Jan 26, 2022
Last Updated: Jan 26, 2022

Practice Location

Address: 316 E 1ST ST
City: Middleton
State: Idaho
ZIP Code: 83644-6159
Phone: (208) 654-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Occupational Therapist	225X00000X	Primary

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