DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA WINGARD, OTA, ATP

Active Sole Proprietor

JESSICA WINGARD, OTA, ATP is a 224ZE0001X healthcare provider located in DUBACH, Louisiana. NPI 1063868446 is currently active in the NPPES registry. Verify at CMS.

224ZE0001X · DUBACH, LA

Registration Details

NPI Number
1063868446
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2016 (10.279977264294 yrs)
Last Updated
May 4, 2016
License
Z20638 (LA)
Sole Proprietor
Yes

Practice Information

Address
7672 HIGHWAY 822
DUBACH, LA, 712353109
Browse LA providers · Browse ZIP 71235
Phone
3182433050
Primary Specialty
224ZE0001X
224ZE0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.