Individual
JACKI WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
8300 EARHART BLVD, NEW ORLEANS, LA 70118-4428
(504) 866-6990
Mailing address
8300 EARHART BLVD, NEW ORLEANS, LA 70118-4428
(504) 866-6990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
301781
LA
225X00000X
Occupational Therapist
5919-26
WI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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