Individual
JAYMIE BARKER REVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3116 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2709
(502) 459-9120
Mailing address
6784 BRITTANY OAK DR, LOUISVILLE, KY 40229-3089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132547
KY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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