National Provider Identifier Database

LORI BROUSSARD, OTR – NPI #1093458457
Hand


Contact Information

LORI BROUSSARD, OTR
5353 WILLIAMS DR STE 100
GEORGETOWN, TX78633-2069
Phone: 512-713-0521
Fax:
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for LORI BROUSSARD

NPI Number 1093458457
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 04/14/2022
Last updated 04/14/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 118669
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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