Individual
JADA ELIZABETH FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
8300 EARHART BLVD # 100, NEW ORLEANS, LA 70118-4428
(504) 866-6990
Mailing address
8300 EARHART BLVD # 100, NEW ORLEANS, LA 70118-4428
(504) 866-6990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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