NPI 1295185692

Jessica Borne Boudreaux, MOTLOTR

Practitioner Occupational Therapist Thibodaux, LA

Practice location

Address: 1054 Canal Blvd, Thibodaux, LA 70301-4544
Phone: (985) 665-7575
Mailing address: 622 Highway 20, Thibodaux, LA 70301-6229

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 301778 (LA)

Other Occupational Therapist providers in Louisiana →

Registry record

NPI: 1295185692
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2016
Record last updated: 16 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.