MARTY WADE GROOMS

JACKSON, TN
NPI1477636447
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  02904)
Enumeration Date2006-10-23
Last Update Date2011-10-13
Business Address
-- MARTY WADE GROOMS OTR L
24 PHYSICIANS DR
JACKSON, TN 38305-2070
Phone number: 731-410-2357
Mailing Address
-- MARTY WADE GROOMS OTR L
1122 CRAZY DOE RD
LEXINGTON, TN 38351-4718
Phone number: 731-693-5571
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