Healthcare Provider Details

I. General information

NPI: 1245193762
Provider Name (Legal Business Name): DEBRASHAI JANAE LUSK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 PICARDY AVE
BATON ROUGE LA
70809-3686
US

IV. Provider business mailing address

PO BOX 1003
MARKSVILLE LA
71351-1003
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-5032
  • Fax:
Mailing address:
  • Phone: 318-359-5043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number350011
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: