Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juaquina Melita Broughton, MSOTR

Individual provider Pediatric Occupational Therapist · NPI 1831455658

Juaquina Melita Broughton, MSOTR is a Pediatric Occupational Therapist in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012

Practice location Address checks out

4601 Eagleridge Pl Ste 140
Pueblo, CO 81008-4101
Phone: (719) 253-7727
Fax: (719) 253-7729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT-3418 (CO)

Record details

NPI number1831455658
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR
Sole proprietorNo
NPI enumeratedApril 5, 2012
Last updated in NPPESDecember 28, 2016

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