Individual
MRS. DONYA BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17034 SW 34TH ST, MIRAMAR, FL 33027-4539
(305) 962-4682
Mailing address
9661 SW 11TH ST, PEMBROKE PINES, FL 33025-3652
(954) 536-2215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16085
FL
Other
Enumeration date
07/09/2014
Last updated
08/30/2023
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