Individual
JENNIFER FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
210 N BROADWAY ST, BEREA, KY 40403-2212
(859) 353-3666
(859) 448-7077
Mailing address
752 RICHMOND RD N, BEREA, KY 40403-1059
(859) 353-3666
(859) 448-7077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134192
KY
Other
Enumeration date
01/18/2012
Last updated
02/25/2020
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