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1265258685
MACAYLA BROOKE THAGGARD
MARYVILLE, TN
NPI
1265258685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 4182)
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
Ms. MACAYLA BROOKE THAGGARD COTA/L
219 HERITAGE CROSSING DR
MARYVILLE, TN 37804-4712
Phone number: 865-824-8462
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Mailing Address
Ms. MACAYLA BROOKE THAGGARD COTA/L
219 HERITAGE CROSSING DR
MARYVILLE, TN 37804-4712
Phone number: 865-824-8462
Copy
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