Individual
SALLY BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1270 KINGS HWY, LEWES, DE 19958-1735
(302) 684-4950
(302) 684-8931
Mailing address
1270 KINGS HWY, LEWES, DE 19958-1735
(302) 684-4950
(302) 684-8931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U10000213
DE
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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