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Individual

BREANNA LEIGH DEKUIPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(931) 233-9970
Mailing address
5360 EDMONDSON PIKE, APT 118, NASHVILLE, TN 37211-7349
(615) 294-3084

Taxonomy

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

Other

Enumeration date
04/28/2017
Last updated
04/28/2017
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