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Individual

MS. JENNIFER ROFF MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O. T.

Contact information

Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 251-6103
(318) 251-6141
Mailing address
PO BOX 1594, RUSTON, LA 71273-1594
(318) 251-6103
(318) 251-6141

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11761
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1006858
LA
Enumeration date
08/18/2006
Last updated
07/08/2007
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