Provider Demographics
NPI:1073938494
Name:FRANKS, JESSICA WOOD (LOTR)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:WOOD
Last Name:FRANKS
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ANN
Other - Last Name:FRANKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LOTR
Mailing Address - Street 1:23213 OLD SCENIC HWY
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-6200
Mailing Address - Country:US
Mailing Address - Phone:504-214-7739
Mailing Address - Fax:
Practice Address - Street 1:1050 S FOSTER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7221
Practice Address - Country:US
Practice Address - Phone:225-922-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-21
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200315225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist