Individual
BAILEY NICOLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2480 US 41 N, HENDERSON, KY 42420-2300
(270) 823-3875
(270) 212-0271
Mailing address
5442 STATE ROUTE 1299, ROBARDS, KY 42452-9579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
283350
KY
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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