IndividualActive
Jessica Wingard, OTA, ATP
NPI 1063868446 · Environmental Modification Occupational Therapy Assistant · Dubach, LA
Provider details
- NPI number
- 1063868446
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA, ATP
- Sex
- Female
- Sole proprietor
- Yes
- License
- Z20638 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7672 Highway 822
Dubach, LA 71235-3109
Phone: (318) 243-3050
Approximate (ZIP-level) locationGet directions
Mailing address
7672 Highway 822
Dubach, LA 71235-3109
Registry dates
- Enumerated
- 2016-05-04
- Last updated
- 2016-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.