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1124648688
JANNA FAY KNICKERBOCKER
MEMPHIS, TN
NPI
1124648688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 0531)
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
JANNA FAY KNICKERBOCKER OT
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128-2504
Phone number: 901-516-5320
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Mailing Address
JANNA FAY KNICKERBOCKER OT
3960 NEW COVINGTON PIKE
MEMPHIS, TN 38128-2504
Phone number: 901-516-5320
Copy
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