Individual
JESSICA SAREUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 SUNSET BLVD STE B, KENNER, LA 70065-6810
(850) 588-9641
(888) 711-0441
Mailing address
PO BOX 168, CRYSTAL SPRINGS, MS 39059-0168
(850) 588-9641
(888) 711-0441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
327805
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327805
OCCUPATIONAL THERAPY
LA
Enumeration date
08/10/2021
Last updated
01/30/2025
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