Individual
JESSICA STOLTZ MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR, CHT
Contact information
Practice address
122 OLIVEWOOD DR, LAFAYETTE, LA 70508-8187
(337) 545-2355
Mailing address
302 HABITAT RIDGE DR, BROUSSARD, LA 70518-5292
(504) 458-6579
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
201705009
LA
225XH1200X
Hand Occupational Therapist
Primary
OTT.200634
LA
Other
Enumeration date
03/25/2015
Last updated
09/02/2025
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