Whalio Doctors

NPI 1083455869

Lauren Rose Broderick, PTDPT

Practitioner Physical Therapist Lewiston, ME

Practice location

Address
300 Main St, Lewiston, ME 04240-7027
Phone
(207) 795-0111
Mailing address
1871 Woodard Rd, Elma, NY 14059-9366

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT6799 (ME)

Registry record

NPI
1083455869
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Jun 2024
Record last updated
4 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.