Individual
DR. JEFF LEDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(502) 873-4215
Mailing address
6408 WATCH HILL RD, LOUISVILLE, KY 40228-1354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1804
KY
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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