JENNIFER DEGEYTER WISDOM

BREAUX BRIDGE, LA
NPI1144457664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  Z20509)
Enumeration Date2009-06-11
Last Update Date2009-06-11
Business Address
Mrs. JENNIFER DEGEYTER WISDOM COTA/L
210 CHAMPAGNE BLVD
BREAUX BRIDGE, LA 70517-3700
Phone number: 337-507-1106
Mailing Address
Mrs. JENNIFER DEGEYTER WISDOM COTA/L
4752 BRIDGE STREET HWY
ST. MARTINVILLE, LA 70582
Phone number: 337-845-4880