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1730236969
JENNIFER KNICKERBOCKER
LEWISBURG, TN
NPI
1730236969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 821)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
Mrs. JENNIFER KNICKERBOCKER PTA
1653 MOORESVILLE HWY
LEWISBURG, TN 37091-2005
Phone number: 931-359-4506
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Mailing Address
Mrs. JENNIFER KNICKERBOCKER PTA
2816 BLOOMFIELD DR
THOMPSONS STATION, TN 37179-5108
Phone number: 615-794-8088
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