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Individual

ALYSSA BERRY CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1975 W ELK AVE STE 1, ELIZABETHTON, TN 37643-3787
(423) 722-2062
(423) 722-2063
Mailing address
401 E MAIN ST STE 4, JOHNSON CITY, TN 37601-4891
(423) 722-2062
(423) 722-2063

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4697
TN

Other

Enumeration date
01/29/2013
Last updated
01/30/2013
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