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

Individual provider Physical Therapy Assistant · NPI 1376012708

Teri Doreen Broadway is a Physical Therapy Assistant in Waterford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
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Practice location Address checks out

1901 N Telegraph Rd
Waterford, MI 48328-1878
Phone: (810) 407-9103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502001180 (MI)

Record details

NPI number1376012708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address1901 N Telegraph Rd, Waterford, MI 48328-1878

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