JENNILYN AVA WALLING

KINGSPORT, TN
NPI1023995743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  4108)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: VA  0131002877)
Enumeration Date2025-08-18
Last Update Date2025-08-18
Business Address
JENNILYN AVA WALLING
2300 PAVILION DR
KINGSPORT, TN 37660-4622
Phone number: 423-765-9655
Mailing Address
JENNILYN AVA WALLING
3016 MABE STANLEYTOWN RD
DUFFIELD, VA 24244-4614
Phone number: