Individual
MRS. JENNIFER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
(502) 244-1210
Mailing address
1819 EASTERN PKWY, LOUISVILLE, KY 40204-1416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5454
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100342840
—
KY
Enumeration date
07/18/2013
Last updated
05/25/2021
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