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Individual

MS. LORI-ANNE BROUILLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

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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