| Mrs Kathryn Broderius, MOT | |
|
316 E 1st St, Middleton, ID 83644-6159 | |
| (208) 654-6161 | |
| Not Available |
| Full Name | Mrs Kathryn Broderius |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 316 E 1st St, Middleton, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154074508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | OT-2455 (Idaho) | Secondary |
| 225X00000X | Occupational Therapist | OT-2455 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathryn Broderius, MOT 3700 E Downs Ave, Nampa, ID 83686-1385 Ph: () - | Mrs Kathryn Broderius, MOT 316 E 1st St, Middleton, ID 83644-6159 Ph: (208) 654-6161 |
Foundations Pediatric Therapy Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 E 1st St, Middleton, ID 83644 Phone: 208-654-6161 Fax: 208-473-7320 | |
Ms. Allison Powell, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 23511 Old Middleton Road, Middleton, ID 83644 Phone: 208-350-9382 | |
Tiffany Pollock, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 E 1st St, Middleton, ID 83644 Phone: 208-654-6161 Fax: 208-473-7320 |