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1124162540
NYDA KIDD
MORRISTOWN, TN
NPI
1124162540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN OT2742)
Enumeration Date
2007-02-18
Last Update Date
2007-07-08
Business Address
-- NYDA KIDD
436A W 1ST NORTH ST
MORRISTOWN, TN 37814-4641
Phone number: 423-586-1214
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Mailing Address
-- NYDA KIDD
436A W 1ST NORTH ST
MORRISTOWN, TN 37814-4641
Phone number: 423-586-1214
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