Individual provider · Type 1 NPI

Lauren Broderick, DPT

Pediatric Physical Therapist · Austin, TX

NPI number 1104228535 Active

Practice location

9101 Burnet Rd, Suite 101
Austin, TX 78758-5254

Fax (512) 248-2354

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1246961 (TX)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1104228535

Lauren Broderick, DPT's National Provider Identifier is 1104228535, issued on Sep 17, 2014. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Austin, TX. The record was last updated on Sep 17, 2014.