Doctor Name: | RUTH M BRODERICK |
NPI Number: | 1194802678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1069 Ringwood Ave Ste 211 Haskell, NJ - 074201408 |
Business Phone Number: | 9734677976 |
Business Fax Number: | 9734677971 |
Mailing Address: | 80 Oakwood Dr, RINGWOOD |
State: | NJ |
Postal Code: | 074562024 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |