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1831457191
AMY DIANE ELLIS
DYERSBURG, TN
NPI
1831457191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2094)
Enumeration Date
2012-04-24
Last Update Date
2021-03-07
Business Address
MRS. AMY DIANE ELLIS COTA/L
1900 PARR AVE
DYERSBURG, TN 38024-2009
Phone number: 731-286-1221
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Mailing Address
MRS. AMY DIANE ELLIS COTA/L
2009 WELCH RD
DYERSBURG, TN 38024-7740
Phone number: 731-445-8822
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