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1225435993
PAMELA TIDWELL
MURFREESBORO, TN
NPI
1225435993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 1158)
Enumeration Date
2014-11-24
Last Update Date
2014-11-24
Business Address
MRS. PAMELA TIDWELL COTA
205 ED TODD CT
MURFREESBORO, TN 37128-7742
Phone number: 615-566-7543
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Mailing Address
MRS. PAMELA TIDWELL COTA
205 ED TODD CT
MURFREESBORO, TN 37128-7742
Phone number: 615-566-7543
Copy
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