Provider Demographics
NPI:1831522317
Name:JONES, RESHELLE LEONITA (LOTR)
Entity type:Individual
Prefix:MS
First Name:RESHELLE
Middle Name:LEONITA
Last Name:JONES
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:PO BOX 1651
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70361-1651
Mailing Address - Country:US
Mailing Address - Phone:985-665-0855
Mailing Address - Fax:
Practice Address - Street 1:1116 WILLOW ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-6462
Practice Address - Country:US
Practice Address - Phone:985-665-0855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200591225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist