Individual
JORDAN GUEDRY SIMONEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9755 GOODWOOD BLVD, BATON ROUGE, LA 70815-4514
(225) 330-9050
Mailing address
2419 W ORICE ROTH RD APT 615, GONZALES, LA 70737-5318
(225) 614-6442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
324250
LA
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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