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1306277496
JENNIFER THACKER
LOUISVILLE, KY
NPI
1306277496
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Former Name
JENNIFER RYAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY R1290)
Enumeration Date
2013-11-27
Last Update Date
2013-11-27
Business Address
-- JENNIFER THACKER
4200 BROWNS LN
LOUISVILLE, KY 40220-1523
Phone number: 502-459-8900
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Mailing Address
-- JENNIFER THACKER
3507 STONY BROOK DR
LOUISVILLE, KY 40299-1541
Phone number: 502-494-4246
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