Individual
JEFFREY LEE WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3740 OLD HARTFORD RD, OWENSBORO, KY 42303-1727
(270) 684-7259
(270) 684-7275
Mailing address
3740 OLD HARTFORD RD, OWENSBORO, KY 42303-1727
(270) 684-7259
(270) 684-7275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2053
KY
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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