| NPI | 1982034377 |
|---|---|
| Former Name | DANIELLE BRODERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 9968) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2016-12-22 |