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1073145470
JESSICA WACKER
KNOXVILLE, TN
NPI
1073145470
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Former Name
JESSICA OTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TN 5147)
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
JESSICA WACKER PTA
809 E EMERALD AVE
KNOXVILLE, TN 37917-5550
Phone number: 865-524-7366
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Mailing Address
JESSICA WACKER PTA
135 SHEFFIELD DR
CLINTON, TN 37716-6253
Phone number:
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