Elizabeth K Broughton, MOT, OTR/L | |
2233 Bonnie St, Willow Spring, NC 27592-4603 | |
(919) 614-5054 | |
Not Available |
Full Name | Elizabeth K Broughton |
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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 |
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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 |
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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 |