Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY LAUREN BROUSSARD
Active Sole ProprietorOccupational Therapy Assistant · WILLOWS, CA
Registration Details
- NPI Number
- 1073244752
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2022 (3.8811312143172 yrs)
- Last Updated
- Sep 9, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
242 N VILLA AVEWILLOWS, CA, 959882641Browse CA providers · Browse ZIP 95988
- Phone
- 5309346582
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in WILLOWS, CA
| Name | Credential | NPI |
|---|---|---|
| MISS TANIA MARIE HAYES | — | 1356481451 |
| MR. JOHN FORBES | — | 1154796381 |
| MR. DAVID STUART PREST | — | 1063954378 |
| ULISES TREVINO | — | 1336642370 |
| ANA FIGUEROA | — | 1609341825 |
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.