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Individual

JENNA K TEEPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
165617
KY

Other

Enumeration date
06/09/2017
Last updated
03/15/2019
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