Individual
SUSAN H BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
590 MIDDLEBURY RD, SUITE A, MIDDLEBURY, CT 06762-2562
(203) 577-3700
(203) 577-3800
Mailing address
PO BOX 1327, MIDDLEBURY, CT 06762-7327
(203) 577-3700
(203) 577-3800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003751
CT
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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