Individual
JENNIFER D GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
619 N MAIN ST, JENNINGS, LA 70546-5347
(337) 824-8287
Mailing address
2002 JOHNSON ST STE 100, JENNINGS, LA 70546-3640
(337) 824-4547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200126
LA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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