Organization
JENNIFER HEWITT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN HEWITT OTD, OTR/L (OCCUPATIONAL THERAPIST)
(985) 662-2126
Entity
Organization
Contact information
Practice address
49352 FEDELE RD, TICKFAW, LA 70466-1840
(985) 662-2126
Mailing address
49352 FEDELE RD, TICKFAW, LA 70466-1840
(985) 662-2126
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OTT.200290
LA
Other
Enumeration date
08/15/2006
Last updated
01/04/2013
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