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1205692282
ERICKA JACK
OPELOUSAS, LA
NPI
1205692282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.Z12320)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
Dr. ERICKA JACK OTD
143 DAKOTAH LN
OPELOUSAS, LA 70570-0319
Phone number: 225-978-8282
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Mailing Address
Dr. ERICKA JACK OTD
143 DAKOTAH LN
OPELOUSAS, LA 70570-0319
Phone number: 225-978-8282
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