Provider Demographics
NPI:1952795262
Name:STOLTZ, JESSICA ANN (LOTR, CHT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:STOLTZ
Suffix:
Gender:F
Credentials:LOTR, CHT
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:STOLTZ
Other - Last Name:FELTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LOTR
Mailing Address - Street 1:3017 KINGMAN ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6672
Mailing Address - Country:US
Mailing Address - Phone:504-378-1811
Mailing Address - Fax:
Practice Address - Street 1:3017 KINGMAN ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6672
Practice Address - Country:US
Practice Address - Phone:504-378-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200634225XH1200X
LA201705009225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand