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Individual

JESSICA WINGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA, ATP

Contact information

Practice address
7672 HIGHWAY 822, DUBACH, LA 71235-3109
(318) 243-3050
Mailing address
7672 HIGHWAY 822, DUBACH, LA 71235-3109
(318) 243-3050

Taxonomy

Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
Z20638
LA

Other

Enumeration date
05/04/2016
Last updated
05/04/2016
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