Individual
JENNIFER SMITH BERTHELOT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7523 HIGHWAY 1 S, ADDIS, LA 70710-2148
(225) 687-0602
(225) 687-0610
Mailing address
7523 HIGHWAY 1 S, ADDIS, LA 70710-2148
(225) 687-0602
(225) 687-0610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12039
LA
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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