Individual
JACQUELYN SUZANNE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 HIGHWAY 76, CLARKSVILLE, TN 37043-4102
(931) 552-0881
Mailing address
198 CEDARBEND RD, CLARKSVILLE, TN 37043-1825
(931) 338-2599
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2412
TN
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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