MR. Jerome Daniel Broderick, P.T.
NPI #1881691962 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1881691962
- Entity Type
- Individual
- Name
- MR. Jerome Daniel Broderick, P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Jul 5, 2005
- Last Updated
- Mar 12, 2012
Practice Location
- Address
- 2911 KNAPP ST NE
- Address 2
- SUITE C
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49525-4600
- Phone
- (616) 975-9078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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