Individual
JESSICA ALLIE WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
(502) 244-1210
Mailing address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
271714
KY
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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