Individual
JOHN T BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8890 CENTRE PARK DR STE 400, COLUMBIA, MD 21045-2170
(410) 884-6000
(410) 884-9990
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18673
MD
225100000X
Physical Therapist
24740
MA
Other
Enumeration date
02/01/2006
Last updated
02/09/2023
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