Provider Demographics
NPI:1396168969
Name:LALONDE, JESSIE (LOTR)
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:
Last Name:LALONDE
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:221 RUE DE JEAN
Mailing Address - Street 2:SUITE 126
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8501
Mailing Address - Country:US
Mailing Address - Phone:337-233-0322
Mailing Address - Fax:337-233-0225
Practice Address - Street 1:221 RUE DE JEAN
Practice Address - Street 2:SUITE 126
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8501
Practice Address - Country:US
Practice Address - Phone:337-233-0322
Practice Address - Fax:337-233-0225
Is Sole Proprietor?:No
Enumeration Date:2014-02-01
Last Update Date:2014-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200397225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation