Individual
LORI BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5353 WILLIAMS DR STE 100, GEORGETOWN, TX 78633-2069
(512) 713-0521
Mailing address
260 S BROOK DR APT 1035, LEANDER, TX 78641-5089
(281) 415-7832
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
118669
TX
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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