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Individual

DEBORAH A BRODZIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4121 DUTCHMANS LANE, SUITE 515 SUBURBAN MEDICAL PLAZA III, LOUISVILLE, KY 40207
(502) 895-2440
(502) 897-2311
Mailing address
4121 DUTCHMANS LANE, SUITE 515 SUBURBAN MEDICAL PLAZA III, LOUISVILLE, KY 40207
(502) 895-2440
(502) 897-2311

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002736
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000039518
ANTHEM
KY
01
5060594
AETNA
Enumeration date
08/07/2006
Last updated
07/08/2007
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