Individual
AERIS BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
855 S 8TH ST, BEAUMONT, TX 77701-4603
(409) 838-6568
Mailing address
5350 HEATHERWOOD DR, BEAUMONT, TX 77706-6846
(409) 455-3691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122495
TX
225XP0200X
Pediatric Occupational Therapist
122495
TX
Other
Enumeration date
03/23/2022
Last updated
07/27/2022
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