Individual
MRS. JACINDA N BANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1000
(502) 596-1411
Mailing address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1000
(502) 596-1411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32001418A
IN
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3512
KY
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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