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1528236361
MARYANN LANDISE SKODA
GERMANTOWN, TN
NPI
1528236361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: TN 3074)
Enumeration Date
2008-02-14
Last Update Date
2008-02-14
Business Address
MRS. MARYANN LANDISE SKODA OTR/L
9282 INGLESIDE FARM N
GERMANTOWN, TN 38139-6719
Phone number: 901-756-7356
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Mailing Address
MRS. MARYANN LANDISE SKODA OTR/L
PO BOX 381642
GERMANTOWN, TN 38183-1642
Phone number: 901-756-7356
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