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Individual

MS. JOHNETTA NEWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
15 WESLAKE CV, JACKSON, TN 38305-2305
(731) 431-4973

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2572
TN

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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