Individual
MRS. JESSICA BORNE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
Mailing address
622 HIGHWAY 20, THIBODAUX, LA 70301-6229
(985) 859-6646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
301778
LA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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