JUSTIN ORAN MCDIVITT

COOKEVILLE, TN
NPI1053613802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  4071)
Enumeration Date2010-11-30
Last Update Date2010-11-30
Business Address
Dr. JUSTIN ORAN MCDIVITT OTD, R/L
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-646-7216
Mailing Address
Dr. JUSTIN ORAN MCDIVITT OTD, R/L
952 NOTTINGHAM DR
COOKEVILLE, TN 38506-4310
Phone number:
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