DESTENEE KIMI-TAYLOR PHAM

BRISTOL, TN
NPI1154025534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  24083)
Enumeration Date2023-03-29
Last Update Date2025-02-11
Business Address
DESTENEE KIMI-TAYLOR PHAM
501 MARTINDALE RD
BRISTOL, TN 37620-6152
Phone number: 423-340-1471
Mailing Address
DESTENEE KIMI-TAYLOR PHAM
1091 EMBREVILLE RD
JOHNSON CITY, TN 37604-7046
Phone number: 423-340-1471
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