Individual
MR. JEREMY JAMES MICHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
5723 JACKSON ST EXT, ALEXANDRIA, LA 71303-2079
(318) 449-8999
Mailing address
128 SWEETWATER RIM, PINEVILLE, LA 71360-5492
(318) 264-9175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200048
LA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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