Individual
ANDREW BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 569-7777
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0017792
CO
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
02/10/2022
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