MR. Jacob Terry Boudreaux, COTA

NPI #1750648713 in Lufkin, Texas

Provider Information

NPI Number
1750648713
Entity Type
Individual
Name
MR. Jacob Terry Boudreaux, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Apr 16, 2012
Last Updated
Apr 16, 2012

Practice Location

Address
402 S JOHN REDDITT DR
City
Lufkin
State
Texas
ZIP Code
75904-3108
Phone
(936) 632-2107

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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