Individual
MS. JENNIFER LANE RYLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
905 HIGHWAY 127 N, OWENTON, KY 40359-9302
(502) 484-0661
Mailing address
2321 18 MILE CREEK RD, WESTPORT, KY 40077-9701
(502) 222-0098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A3659
KY
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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