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Jennifer Witt-Fraley

Occupational Therapist in Hazard, KY. Individual provider (NPI-1).

NPI number1124547799
StatusActive
Last updated in NPPESOct 3, 2023

Details

NPI
1124547799
Entity type
Individual (NPI-1)
Name
Jennifer Witt-Fraley
Sex
Female
Sole proprietor
No
Enumeration date
Sep 15, 2017
Certification date
Oct 3, 2023
Last updated
Oct 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist135517KYYes

Practice location

390 Park Ave
Hazard, KY 41701-9548

Phone 606-439-2306

Mailing address

108 Adams Ridge Rd
Hazard, KY 41701-9445

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