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1881163798
EMILY WALLACE
COOKEVILLE, TN
NPI
1881163798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 5614)
Enumeration Date
2018-11-20
Last Update Date
2018-11-20
Business Address
EMILY WALLACE
1445 E 10TH ST
COOKEVILLE, TN 38501-2017
Phone number: 931-372-2020
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Mailing Address
EMILY WALLACE
1445 E 10TH ST
COOKEVILLE, TN 38501-2017
Phone number: 931-372-2020
Copy
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