Individual
MRS. JENNIFER ROSE EUBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MS
Contact information
Practice address
11802 BRINLEY AVE, SUITE 100, LOUISVILLE, KY 40243-1089
(502) 244-1210
Mailing address
2745 GRINSTEAD DR APT 213, LOUISVILLE, KY 40206-2754
(502) 500-7359
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
BOTOCT00218944
KY
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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