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1205496437
TIMOTHY JAMES NICHOLS
CLARKSVILLE, TN
NPI
1205496437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: TN 6301)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
TIMOTHY JAMES NICHOLS OTR/L
851 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5257
Phone number: 901-517-5858
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Mailing Address
TIMOTHY JAMES NICHOLS OTR/L
606 EDINBURGH WAY
CLARKSVILLE, TN 37043-3853
Phone number: 901-517-5858
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