ROBERTA DIANE MCCLENDON

HUMBOLDT, TN
NPI1376815506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  OT0000001553)
Enumeration Date2012-02-03
Last Update Date2012-02-03
Business Address
Ms. ROBERTA DIANE MCCLENDON OTR
2400 E MITCHELL ST
HUMBOLDT, TN 38343-3036
Phone number: 731-784-5184
Mailing Address
Ms. ROBERTA DIANE MCCLENDON OTR
45 PINEWOOD CV
JACKSON, TN 38305-9160
Phone number: 731-499-1318
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