Individual
KENNEDY BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 DUBIEL DR, LEANDER, TX 78641-4212
(337) 526-7361
Mailing address
8601 ANDERSON MILL RD APT 1524, AUSTIN, TX 78729-4732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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