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1811414287
KELSEY BRODERICK
FAIRFIELD, CT
NPI
1811414287
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Former Name
KELSEY LORUSSO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 12302)
Enumeration Date
2017-08-27
Last Update Date
2022-10-12
Business Address
Dr. KELSEY BRODERICK DPT
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Phone number: 203-384-8681
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Mailing Address
Dr. KELSEY BRODERICK DPT
1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
Phone number: 203-384-8681
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