Individual
DR. KELSEY BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825
(203) 384-8681
(203) 384-0722
Mailing address
1931 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3506
(203) 384-8681
(203) 384-0722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12302
CT
Other
Enumeration date
08/27/2017
Last updated
10/12/2022
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