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Individual

JOHN GARRISON EAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8085
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8085

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
137665
KY

Other

Enumeration date
10/30/2025
Last updated
10/30/2025
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