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1487113759
TABITHA LOUISE MECKLENBORG
KNOXVILLE, TN
NPI
1487113759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3128)
Enumeration Date
2019-03-17
Last Update Date
2019-03-17
Business Address
Mrs. TABITHA LOUISE MECKLENBORG COTA/L
5321 BEVERLY PARK CIR
KNOXVILLE, TN 37918-9253
Phone number: 865-687-1321
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Mailing Address
Mrs. TABITHA LOUISE MECKLENBORG COTA/L
1115 RALEIGH AVE
KNOXVILLE, TN 37917-3141
Phone number: 931-303-3764
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