Individual
MS. LORI-ANNE BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Mailing address
141 SANDHURST DR, VENICE, FL 34293-4119
(508) 971-6999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2264
MA
225X00000X
Occupational Therapist
Primary
OT20685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0722472
MASSHEALTH
MA
01
—
1972790970
BMC HEALTHNET
MA
01
—
691582
TUFTS
MA
01
—
AA14788
HARVARD PILGRIM
MA
01
—
OG0068
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/03/2007
Last updated
09/30/2025
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