Individual
MRS. LAUREL MOSS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
Mailing address
228 FAIRWAY DR, NEW ORLEANS, LA 70124-1019
(601) 454-8856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200302
LA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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