Individual
MS. MARY ELIZABETH BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
2655 N. CAUSEWAY BLVD SUITE D, INTEGRATIVE TOUCH PEDIATRIC OCCUPATIONAL THERAPY, MANDEVILLE, LA 70471
(985) 871-6777
(985) 871-6777
Mailing address
4899 WESTBANK EXPY SUITE D, INTEGRATIVE TOUCH PEDIATRIC OCCUPATIONAL THERAPY, MARRERO, LA 70072
(504) 341-7300
(504) 328-1800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200486
LA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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