Individual
JESSICA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT/L
Contact information
Practice address
1500 TRENT BLVD, LEXINGTON, KY 40515-1900
(859) 272-2273
Mailing address
2588 MILLBROOK DR, LEXINGTON, KY 40503-2246
(859) 797-9032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
135806
KY
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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