Individual
JENNIFER BOHNERT KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
225 ABRAHAM FLEXNER WAY STE 650, LOUISVILLE, KY 40202-1888
(502) 561-4295
(502) 562-0348
Mailing address
PO BOX 740041, DEPT 6150, LOUISVILLE, KY 40201-7441
(502) 561-4295
(502) 562-0348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31005877A
IN
225X00000X
Occupational Therapist
Primary
BOTOCT00219071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201306870
—
IN
05
—
7100349190
—
KY
Enumeration date
06/23/2015
Last updated
09/27/2016
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