JESSICA LANE RIDDLE

LAFAYETTE, LA
NPI1053683714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.200520)
Enumeration Date2012-01-27
Last Update Date2012-01-27
Business Address
-- JESSICA LANE RIDDLE
108 ENERGY PKWY
LAFAYETTE, LA 70508-3818
Phone number: 337-504-4244
Mailing Address
-- JESSICA LANE RIDDLE
108 ENERGY PKWY
LAFAYETTE, LA 70508-3818
Phone number: 337-504-4244