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Individual

JANTZEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599
Mailing address
330 WALLER AVE STE 275, LEXINGTON, KY 40504-2930
(859) 447-8600
(859) 447-8599

Taxonomy

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

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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