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1740214469
LISA D SKELLEY
JACKSON, TN
NPI
1740214469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 796)
Enumeration Date
2006-07-10
Last Update Date
2009-07-17
Business Address
-- LISA D SKELLEY OT
544 ROLAND AVE
JACKSON, TN 38301-4302
Phone number: 731-421-6950
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Mailing Address
-- LISA D SKELLEY OT
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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