Individual
MS. JEANNA CONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6278
Mailing address
707 QUISENBERRY LN, WINCHESTER, KY 40391-8066
(859) 745-6964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0381
KY
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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