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1194989780
AMANDA JEAN BIVENS
MARYVILLE, TN
NPI
1194989780
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Former Name
AMANDA LEOPPER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 0000002563)
Enumeration Date
2008-07-14
Last Update Date
2022-11-11
Business Address
AMANDA JEAN BIVENS OTR/L
307 N 5TH ST
MARYVILLE, TN 37804-2921
Phone number: 865-983-0261
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Mailing Address
AMANDA JEAN BIVENS OTR/L
PO BOX 5477
MARYVILLE, TN 37802-5477
Phone number: 865-983-0261
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