MEDICARE: DENISE MARIE JAEGER OTRL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	7027	OH
2	225X00000X	Occupational Therapist	BOTOCT00225224	KY

General Provider Information

NPI Number	:	1619141546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE MARIE JAEGER OTRL

Provider Business Mailing Address
First Line	:	4104 MILLIKIN RD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-2230
Country	:	US
Telephone Number	:	811-260-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	4104 MILLIKIN RD
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-2230
Country	:	US
Telephone Number	:	812-603-3033
Fax Number	:	812-603-3033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	02/06/2017

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Directions to “ DENISE MARIE JAEGER OTRL” Practice Location

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