MRS. Jennifer Degeyter Wisdom, COTA/L
NPI #1144457664 in Breaux Bridge, Louisiana
Provider Information
- NPI Number
- 1144457664
- Entity Type
- Individual
- Name
- MRS. Jennifer Degeyter Wisdom, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jun 11, 2009
- Last Updated
- Jun 11, 2009
Practice Location
- Address
- 210 CHAMPAGNE BLVD
- City
- Breaux Bridge
- State
- Louisiana
- ZIP Code
- 70517-3700
- Phone
- (337) 507-1106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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