Individual
KAITLYN JEANSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
201 CROSBY ST, MANSFIELD, LA 71052-2613
(318) 872-2836
Mailing address
2044 PEPPER RIDGE DR, SHREVEPORT, LA 71115-9525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200776
LA
Other
Enumeration date
10/13/2014
Last updated
05/10/2021
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