Individual
JAMES H BROUILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
600 N WESTSHORE BLVD STE 600, TAMPA, FL 33609-1137
(800) 632-2191
Mailing address
73 LONG MEADOW AVE, HAMDEN, CT 06514-4329
(203) 382-4773
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000626
CT
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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