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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CLEON SHERRILL BROUSSARD, P.T.

Active

MRS. CLEON SHERRILL BROUSSARD, P.T. is a Pediatric Occupational Therapy healthcare provider located in TECUMSEH, Michigan. NPI 1013992577 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · TECUMSEH, MI

Registration Details

NPI Number
1013992577
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2005 (20.496211533424 yrs)
Last Updated
Nov 2, 2021
Licenses
5501007019 (MI)
5501007019 (MI)
5501007019 (MI)
5501007019 (MI)
5501007019 (MI)

Practice Information

Address
9224 BRAMBLE RD
TECUMSEH, MI, 492868712
Browse MI providers · Browse ZIP 49286
Phone
5174382169
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Hand Therapy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.