BRIAN RANDOLPH WOODARD

KINGSPORT, TN
NPI1376677781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  1566)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Mr. BRIAN RANDOLPH WOODARD
113 CASSELL DR
KINGSPORT, TN 37660-3775
Phone number: 423-246-7240
Mailing Address
Mr. BRIAN RANDOLPH WOODARD
4731 WOODCLIFF DR
KINGSPORT, TN 37664-4667
Phone number: 423-288-2751
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