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1144694696
JENNIFER ISHAM
KNOXVILLE, TN
NPI
1144694696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN OTA0000002557)
Enumeration Date
2015-11-20
Last Update Date
2015-11-20
Business Address
-- JENNIFER ISHAM COTA/L
120 CAVETTE HILL LN
KNOXVILLE, TN 37934-6673
Phone number: 865-777-4000
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Mailing Address
-- JENNIFER ISHAM COTA/L
225 SKYLINE VIEW LN
KINGSTON, TN 37763-7274
Phone number:
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