Individual
JENNA BRIELLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 EILEEN CT, VINE GROVE, KY 40175-1174
(270) 312-8743
(270) 312-8743
Mailing address
502 EILEEN CT, VINE GROVE, KY 40175-1174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
302557
KY
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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