Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Debra Lynn Broderick

Individual provider Physical Therapy Assistant · NPI 1417371840

Debra Lynn Broderick is a Physical Therapy Assistant in Tallahassee, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2014.

Licensed in
FL, GA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2410 W Plaza Dr
Tallahassee, FL 32308-5325
Phone: (850) 385-6185
Fax: (850) 385-2580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA32057 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA003216 (GA)

Record details

NPI number1417371840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2014
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address4099 Spain Ferry Rd, Valdosta, GA 31601-9119

Other providers in Tallahassee