-- JESSICA FORD BROUSSARD -- OTR/L
Individual Provider (NPI-1)
Active
Mechanotherapist
Provider Information
- NPI Number
1134319544- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OTR/L
- Status
- Active
Contact & Location
- Address
- 1005 E 23RD ST SUITE 200, FREMONT, NE, 680250800
- Phone
- (866) 784-2329
Specialties & Taxonomies
Mechanotherapist
Primary License: LA #Z11945