Individual provider · Type 1 NPI

Aeris Broussard, MOT, OTR/L

Occupational Therapist · Beaumont, TX

NPI number 1982353181 Active

Practice location

855 S 8th St
Beaumont, TX 77701-4603

Mailing address

5350 Heatherwood Dr
Beaumont, TX 77706-6846

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200X122495 (TX)
Occupational Therapist Primary 225X00000X122495 (TX)

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 1982353181

Aeris Broussard, MOT, OTR/L's National Provider Identifier is 1982353181, issued on Mar 23, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Beaumont, TX. The record was last updated on Jul 27, 2022.