Individual
ABIGAIL ELIZABETH BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
13710 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008398
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119008398
COMMONWEALTH OF VA DEPARTMENT OF HEALTH PROFESSIONS
VA
01
—
431134
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
MD
Enumeration date
04/28/2020
Last updated
05/02/2020
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