Individual
JESSICA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
14088 W CLUB DELUXE RD, HAMMOND, LA 70403-1000
(985) 351-0972
Mailing address
14088 W CLUB DELUXE RD, HAMMOND, LA 70403-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200478
LA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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