| Elizabeth K Broughton, MOT, OTR/L | |
|
2233 Bonnie St, Willow Spring, NC 27592-4603 | |
| (919) 614-5054 | |
| Not Available |
| Full Name | Elizabeth K Broughton |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Gerontology |
| Location | 2233 Bonnie St, Willow Spring, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 7386 (California) | Secondary |
| 225XG0600X | Occupational Therapist - Gerontology | 6728 (North Carolina) | Primary |
| Provider Name | Dogwood Rehab, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1164249678 PECOS PAC ID: 1456887496 Enrollment ID: O20241213000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth K Broughton, MOT, OTR/L 2233 Bonnie St, Willow Spring, NC 27592-4603 Ph: (919) 614-5054 | Elizabeth K Broughton, MOT, OTR/L 2233 Bonnie St, Willow Spring, NC 27592-4603 Ph: (919) 614-5054 |
Dogwood Rehab, Pllc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2233 Bonnie Street, Willow Spring, NC 27592 Phone: 919-614-5054 | |
The Nicu & Beyond, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Gardner Lake Dr, Willow Spring, NC 27592 Phone: 919-817-7273 |