Individual
LAUREN BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9101 BURNET RD, SUITE 101, AUSTIN, TX 78758-5254
(512) 248-2422
(512) 248-2354
Mailing address
9101 BURNET RD, SUITE 101, AUSTIN, TX 78758-5254
(512) 248-2422
(512) 248-2354
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1246961
TX
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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