Individual
DR. ERICKA JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
143 DAKOTAH LN, OPELOUSAS, LA 70570-0319
(225) 978-8282
Mailing address
143 DAKOTAH LN, OPELOUSAS, LA 70570-0319
(225) 978-8282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12320
LA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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