Individual
JENNIFFER SUZANNE TRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.O.T.
Contact information
Practice address
8703 BLUEBELL DR, LOUISVILLE, KY 40219-4943
(502) 210-0831
Mailing address
8703 BLUEBELL DR, LOUISVILLE, KY 40219-4943
(502) 210-0831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5390
KY
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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