Organization
ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME BRODERICK P.T. (P.T. , OWNER)
(616) 975-9078
Entity
Organization
Contact information
Practice address
2911 KNAPP ST NE, SUITE C, GRAND RAPIDS, MI 49525-4600
(616) 975-9078
Mailing address
2911 KNAPP ST NE, SUITE C, GRAND RAPIDS, MI 49525-4600
(616) 975-9078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
09/29/2008
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