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Individual

MRS. JORDAN FOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTR, CNDT, LSVT BIG

Contact information

Practice address
7047 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4955
(985) 951-2457
(985) 951-2459
Mailing address
7047 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4955
(985) 951-2457
(985) 951-2459

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OTT.200746
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTT.200746
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
06/26/2018
Last updated
06/26/2018
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