Individual provider · Type 1 NPI

Jessie M. Broussard, LOTR

Occupational Therapist · Jennings, LA

NPI number 1558794065 Active

Practice location

1322 Elton Rd, Suite I
Jennings, LA 70546-4100

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X200283 (LA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1558794065

Jessie M. Broussard, LOTR's National Provider Identifier is 1558794065, issued on Aug 20, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Jennings, LA. The record was last updated on Aug 20, 2013.