MEDICARE: CAMRYN BROUILLETTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	340079	LA

General Provider Information

NPI Number	:	1619802337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMRYN BROUILLETTE

Provider Business Mailing Address
First Line	:	4324 S SHERWOOD FOREST BLVD STE B170
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4481
Country	:	US
Telephone Number	:	225-654-8208
Fax Number	:	225-529-9998

Provider Business Practice Location Address
First Line	:	4845 MAIN ST STE C
Second Line	:
City	:	ZACHARY
State	:	LA
Zip	:	70791-3943
Country	:	US
Telephone Number	:	225-286-0181
Fax Number	:	225-286-0186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

Similar Medicare Providers

1851223820 — AYSHIA DUNN
Practice Location Address:

4845 MAIN ST STE B
ZACHARY, LA
70791-3943

Practice Phone: 225-654-8208
Practice Fax:

1013840487 — ZOIE SEDBERRY
Practice Location Address:

4845 MAIN ST STE B
ZACHARY, LA
70791-3943

Practice Phone: 225-654-8208
Practice Fax: 225-654-4642

1992773949 — ZACHARY ORTHOPAEDIC CARE CENTER
Practice Location Address:

4845 MAIN ST , SUITE B-1
ZACHARY, LA
70791-3943

Practice Phone: 225-658-9996
Practice Fax: 225-658-9970

1144328535 — LYDIA DEE LEWIS MD
Practice Location Address:

4845 MAIN ST , SUITE D
ZACHARY, LA
70791-3943

Practice Phone: 225-761-5200
Practice Fax: 225-754-5063

1538229836 — ZACHARY PSYCHOLOGY CENTER, INC.
Practice Location Address:

4863A MAIN ST
ZACHARY, LA
70791-3943

Practice Phone: 225-654-2357
Practice Fax: 225-654-1192

1891827903 — MARY LYNN BARTELS LCSW
Practice Location Address:

4863A MAIN ST
ZACHARY, LA
70791-3943

Practice Phone: 225-654-2357
Practice Fax: 225-654-1192

Directions to “ CAMRYN BROUILLETTE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.