Individual
JEANNE WILDEROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
8300 EARHART BLVD STE 100, NEW ORLEANS, LA 70118-4428
(504) 866-6990
(504) 866-6991
Mailing address
8300 EARHART BLVD STE 100, NEW ORLEANS, LA 70118-4428
(504) 866-6990
(504) 866-6991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
308746
LA
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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