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1083139216
MICHAEL GERARD BRODERICK
ATLANTA, GA
NPI
1083139216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013003)
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
MICHAEL GERARD BRODERICK DPT
17 EXECUTIVE PARK DR NE STE 680
ATLANTA, GA 30329-2227
Phone number: 404-364-9551
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Mailing Address
MICHAEL GERARD BRODERICK DPT
10332 ABBOTSFORD DR
TAMPA, FL 33626-1715
Phone number: 813-541-9087
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