Individual
JEN J LI
Active
Individual
JEN J LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
168485
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168485
KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY
KY
Enumeration date
12/05/2010
Last updated
05/08/2017
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