IndividualActive
Heather Broderson, CTRS
NPI 1841592482 · Recreation Therapist · Phoenix, AZ
Provider details
- NPI number
- 1841592482
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
650 E Indian School Rd
Mh&bss 116a1
Phoenix, AZ 85012-1839
Phone: (602) 277-5551
Approximate (ZIP-level) locationGet directions
Mailing address
7319 W Park St
Laveen, AZ 85339-2646
Registry dates
- Enumerated
- 2010-12-02
- Last updated
- 2010-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.