Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA FORD BROUSSARD, OTR/L
Active Sole ProprietorJESSICA FORD BROUSSARD, OTR/L is a Mechanotherapist healthcare provider located in FREMONT, Nebraska. NPI 1134319544 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · FREMONT, NE
Registration Details
- NPI Number
- 1134319544
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2007 (19.014960524048 yrs)
- Last Updated
- Aug 1, 2007
- License
-
Z11945 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1005 E 23RD STSUITE 200FREMONT, NE, 680250800Browse NE providers · Browse ZIP 68025
- Phone
- 8667842329
- Primary Specialty
-
Mechanotherapist
172M00000X
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.