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Individual

HEATHER BRODERICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
45 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2037
(516) 992-4568
(516) 992-4637
Mailing address
45 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2037
(516) 992-4568
(516) 992-4637

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020558
NY

Other

Enumeration date
05/12/2016
Last updated
10/14/2024
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