Most Relevant Information
Provider Data
| NPI Number: | 1003575044 |
| Provider Name: | LEXI BROADWATER OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/16/2021 |
| Last Updated: | 04/21/2024 |
Provider Practice Location
11046 NEW GEORGES CREEK RD SW
FROSTBURG
MD
215321448
Practice Location Phone/Fax
| Phone: | 2402842600 |
| Fax: |
Provider Mailing Location
11046 NEW GEORGES CREEK RD SW
FROSTBURG
MD
215321448
Provider Mailing Phone/Fax
| Phone: | 2402842600 |
| Fax: |