Individual
JOLENE WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
123 CROSS CREEK CT, COXS CREEK, KY 40013-6618
(502) 836-6758
Mailing address
123 CROSS CREEK COURT, COX'S CREEK, KY 40013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2210
KY
Other
Enumeration date
08/25/2011
Last updated
09/16/2013
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