Jack, Ericka

Jack, Ericka is an sole proprietor health care provider with primary practice located at 143 Dakotah Ln , Opelousas LA 70570-0319. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jack, Ericka can be contacted via phone (225) 978-8282.

Contact Information

Primary practice address
143 Dakotah Ln Opelousas LA 70570-0319
Phone: (225) 978-8282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTT.Z12320 Louisiana

Profile Details

NPI number 1205692282
LBN Legal business name Jack, Ericka
Credentials OTD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2024
Last updated Feb 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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