Most Relevant Information
Provider Data
| NPI Number: | 1003382334 |
| Provider Name: | DORIEAN BROADY DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251G0304X |
| Specialty: | Physical Therapist |
| License Number: | 2305211422 |
Most Important Dates
| Enumeration Date: | 10/14/2018 |
| Last Updated: | 10/14/2018 |
Provider Practice Location
4902 ARCH ST UNIT 1
PHILADELPHIA
PA
191392727
Practice Location Phone/Fax
| Phone: | 5859447961 |
| Fax: |
Provider Mailing Location
4902 ARCH ST UNIT 1
PHILADELPHIA
PA
191392727
Provider Mailing Phone/Fax
| Phone: | 5859447961 |
| Fax: |