NPI 1285079814

Jillian Broderick, PTA

Practitioner Physical Therapy Assistant Beverly, MA

Practice location

Address: 7 Reservoir Rd, Beverly, MA 01915-5501
Phone: (978) 524-0333
Mailing address: 4 Jacobs Ave, Beverly, MA 01915-4126

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7896 (MA)

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Registry record

NPI: 1285079814
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 May 2013
Record last updated: 9 May 2013

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.