| 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  | 
Emily Keowen Lueck, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1154 Academy Rd, Eunice, LA 70535 Phone: 337-250-7114  | |
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: Not Enrolled in Medicare 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  |