Veronique Broussard
Occupational Therapist
632 W Naomi St
Philadelphia
, Pennsylvania 19144-3711
Veronique Broussard
Occupational Therapist
632 W Naomi St
Philadelphia
, Pennsylvania 19144-3711
(267) 245-2601
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Veronique Broussard
- 632 W Naomi St
- Philadelphia, PA
- Zip : 19144-3711
- Phone : (267) 245-2601
Second Address
- Veronique Broussard
- 632 W Naomi St
- Philadelphia, PA
- Zip : 19144-3711
- Phone : (267) 245-2601
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC01823 | PA |
National Provider Identifier
| NPI | 1003578683 |
|---|---|
| Provider Name | Veronique Broussard |
| First Address | Philadelphia, PA 19144-3711 |
| Second Address | Philadelphia, PA 19144-3711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.