Jessica Wingard, OTA, ATP

NPI #1063868446 in Dubach, Louisiana

Provider Information

NPI Number: 1063868446
Entity Type: Individual
Name: Jessica Wingard, OTA, ATP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant - Environmental Modification
Credential: OTA, ATP
Enumeration Date: May 4, 2016
Last Updated: May 4, 2016

Practice Location

Address: 7672 HIGHWAY 822
City: Dubach
State: Louisiana
ZIP Code: 71235-3109
Phone: (318) 243-3050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant - Environmental Modification — Environmental Modification	224ZE0001X	Primary

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