Individual
JENNIFER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 BURNLEY RD, SCOTTSVILLE, KY 42164-6355
(270) 622-2800
Mailing address
94 JACK BROWN RD, GLASGOW, KY 42141-8237
(270) 670-7039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
273351
KY
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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