Jessica Broussard, OTR/L

NPI 1134319544 · on the registry since 2007 · sole proprietor

Practice

Address: 1005 E 23rd St
Suite 200
Fremont, NE 68025
Phone: (866) 784-2329
Organisation at this address: Rtg Medical
Great Plains Dental Specialists P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 172M00000X
172M00000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska