Provider Demographics
NPI:1528403664
Name:PARR, JENNIFER SKINNER (LOTR)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SKINNER
Last Name:PARR
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16309 E BREWSTER RD
Mailing Address - Street 2:APT. K175
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7212
Mailing Address - Country:US
Mailing Address - Phone:225-615-0579
Mailing Address - Fax:
Practice Address - Street 1:16309 E BREWSTER RD
Practice Address - Street 2:APT. K175
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7212
Practice Address - Country:US
Practice Address - Phone:225-615-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT200240225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist