Individual
JESSICA JAIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
201 CROSBY ST, MANSFIELD, LA 71052-2613
(318) 872-2836
Mailing address
4495 SMYRNA RD, GRAND CANE, LA 71032-5750
(318) 286-6662
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200181
LA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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