Individual
KARA MICHELLE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1118 COMMERCIAL DR, HAMMOND, LA 70403-5954
(225) 270-9473
Mailing address
PO BOX 1133, LIVINGSTON, LA 70754-1133
(225) 270-9473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
325248
LA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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