Mr Craig Robert Broussard, LOTR | |
1021 E Laurel Ave, Eunice, LA 70535-3611 | |
(337) 546-0101 | |
(337) 546-0071 |
Full Name | Mr Craig Robert Broussard |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1021 E Laurel Ave, Eunice, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023115763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTT.Z11165 (Louisiana) | Primary |
Provider Name | Acadian Physical Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1043676554 PECOS PAC ID: 8123311875 Enrollment ID: O20160719000645 |
Mailing Address | Practice Location Address |
---|---|
Mr Craig Robert Broussard, LOTR 107 Briarmeadow Dr, Lafayette, LA 70508-7210 Ph: (337) 303-3237 | Mr Craig Robert Broussard, LOTR 1021 E Laurel Ave, Eunice, LA 70535-3611 Ph: (337) 546-0101 |
Kylie Fruge, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 1/2 S 3rd St, Eunice, LA 70535 Phone: 337-466-0388 Fax: 337-231-0230 | |
Lindsey Simar, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 241 N 2nd St, Eunice, LA 70535 Phone: 337-466-0388 Fax: 337-231-0230 | |
Mrs. Emily Manuel Brown, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 441 Moosa Blvd, Rehab Xcel Of Eunice Llc, Eunice, LA 70535 Phone: 337-457-8164 Fax: 337-546-6515 | |
Virginia Fruge, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 Amazon St, Eunice, LA 70535 Phone: 337-580-1202 | |
Mrs. Angelle Fruge Driggs, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 441 Moosa Blvd, Eunice, LA 70535 Phone: 337-457-8164 Fax: 337-546-6515 |