Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH BROUSSEAU
Active Sole ProprietorELIZABETH BROUSSEAU is a Occupational Therapy Assistant healthcare provider located in WINDHAM, Maine. NPI 1093023764 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WINDHAM, ME
Registration Details
- NPI Number
- 1093023764
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2010 (15.930430538131 yrs)
- Last Updated
- Sep 16, 2010
- License
-
OA979 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 GRAY RDWINDHAM, ME, 040624290Browse ME providers · Browse ZIP 04062
- Phone
- 2078921840
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.