Organization
J GENDEMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GENDEMAN OTD, OTR/L, SCLV (OWNER)
(630) 712-7167
Entity
Organization
Contact information
Practice address
3309 WELLINGMOOR AVE, LOUISVILLE, KY 40218-1028
(630) 712-7167
Mailing address
3309 WELLINGMOOR AVE, LOUISVILLE, KY 40218-1028
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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