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Individual

AMBER SHONESY SPONAUGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
1520 GROVE ST, LOUDON, TN 37774-1575
(865) 458-5436
Mailing address
917 HOUSTON DR, SEYMOUR, TN 37865-3449
(865) 661-0650

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1442
TN

Other

Enumeration date
08/28/2008
Last updated
07/30/2009
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