Individual
MRS. JENNY MARIA DEIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
11802 BRINLEY AVE, SUITE 100, LOUISVILLE, KY 40243-1089
(502) 244-1210
(502) 244-1214
Mailing address
7209 NELSON CT, GEORGETOWN, IN 47122-9098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4074
KY
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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