Individual
ALLISON GANIER HAVERCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
34 GARLAND DR, JACKSON, TN 38305-3654
(731) 668-3322
Mailing address
34 GARLAND DR, JACKSON, TN 38305-3654
(731) 668-3322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2888
TN
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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