Mr. Steven Eric Brodnicki
Physical Therapist Physical Therapist - Geriatrics
1305 Walker Ave Nw
Grand Rapids
, Michigan 49504-4098
Mr. Steven Eric Brodnicki
Physical Therapist Physical Therapist - Geriatrics
1305 Walker Ave Nw
Grand Rapids
, Michigan 49504-4098
(616) 446-4963
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mr. Steven Eric Brodnicki
- 3438 Van Buren St
- Hudsonville, MI
- Zip : 49426-1062
- Phone : (616) 446-4963
Second Address
- Mr. Steven Eric Brodnicki
- 1305 Walker Ave Nw
- Grand Rapids, MI
- Zip : 49504-4098
- Phone : (616) 776-8409
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Is Mr. Steven Eric Brodnicki a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501010835 | MI |
| N | 2251G0304X | Physical Therapist - Geriatrics | 5501010835 | MI |
National Provider Identifier
| NPI | 1356678080 |
|---|---|
| Provider Name | Mr. Steven Eric Brodnicki |
| First Address | Hudsonville, MI 49426-1062 |
| Second Address | Grand Rapids, MI 49504-4098 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2009 |
| Last Update Date | 18/11/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.