Individual
MRS. JESSICA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
566 PERRILLOUX RD, MADISONVILLE, LA 70447-9536
(985) 264-6540
Mailing address
566 PERRILLOUX RD, MADISONVILLE, LA 70447-9536
(985) 264-6540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT200204
LA
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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