Individual
MRS. JENNA KIETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
590 MISSOURI AVE STE 204, JEFFERSONVILLE, IN 47130-3084
(812) 288-4688
(812) 610-8333
Mailing address
590 MISSOURI AVE STE 204, JEFFERSONVILLE, IN 47130-3084
(812) 288-4688
(812) 610-8333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
272624
KY
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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