Individual
MR. JACOB TERRY BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
(936) 632-2107
(936) 632-2108
Mailing address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
(936) 632-2107
(936) 632-2108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211458
LICENSE
TX
Enumeration date
04/16/2012
Last updated
04/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us