BYRON BRODERICK

CHICAGO, IL
NPI1598272999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.008003)
Enumeration Date2018-01-07
Last Update Date2019-01-16
Business Address
BYRON BRODERICK PTA
1921 W IRVING PARK RD
CHICAGO, IL 60613-2407
Phone number: 773-687-9442
Mailing Address
BYRON BRODERICK PTA
1921 W IRVING PARK RD
CHICAGO, IL 60613-2407
Phone number: 773-687-9442
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