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Individual

JAZMINE DE'NISE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1560 US-51, PONCHATOULA, LA 70454
(985) 229-2112
Mailing address
515 GARDENIA ST, LA PLACE, LA 70068-3015
(504) 442-6752

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
01/14/2018
Last updated
11/09/2021
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