Individual
MS. JANA FULLER FERCHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1605 STUBBS AVE, MONROE, LA 71201-5629
(318) 388-8414
Mailing address
105 EAGLE LAKE DR, WEST MONROE, LA 71291-8753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456756
—
LA
Enumeration date
02/26/2007
Last updated
05/24/2022
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