Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER DEGEYTER WISDOM, COTA/L
Active Sole ProprietorMRS. JENNIFER DEGEYTER WISDOM, COTA/L is a Occupational Therapy Assistant healthcare provider located in BREAUX BRIDGE, Louisiana. NPI 1144457664 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BREAUX BRIDGE, LA
Registration Details
- NPI Number
- 1144457664
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2009 (17.132843660834 yrs)
- Last Updated
- Jun 11, 2009
- License
-
Z20509 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 CHAMPAGNE BLVDBREAUX BRIDGE, LA, 705173700Browse LA providers · Browse ZIP 70517
- Phone
- 3375071106
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.