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NPI Code Detail

MEDICARE: DEBRASHAI JANAE LUSK OTR/L

MEDICARE: DEBRASHAI JANAE LUSK OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist350011LA

General Provider Information

NPI Number : 1245193762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRASHAI JANAE LUSK OTR/L
Provider Business Mailing Address
First Line : PO BOX 1003
Second Line :
City : MARKSVILLE
State : LA
Zip : 71351-1003
Country : US
Telephone Number : 318-359-5043
Fax Number :
Provider Business Practice Location Address
First Line : 8316 PICARDY AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3686
Country : US
Telephone Number : 225-767-5032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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