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Individual

JENNIFER D LEWTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(502) 235-2428
Mailing address
6309 GAYLE DR, LOUISVILLE, KY 40219-2011
(502) 797-7238

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
251283
KY

Other

Enumeration date
05/01/2022
Last updated
05/01/2022
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