MRS. Jessica Borne Boudreaux, MOT, LOTR

NPI #1295185692 in Thibodaux, Louisiana

Provider Information

NPI Number: 1295185692
Entity Type: Individual
Name: MRS. Jessica Borne Boudreaux, MOT, LOTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT, LOTR
Enumeration Date: Jun 16, 2016
Last Updated: Jun 16, 2016

Practice Location

Address: 1054 CANAL BLVD
City: Thibodaux
State: Louisiana
ZIP Code: 70301-4544
Phone: (985) 665-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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