Individual
WILLIAM DOUGLAS BALDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 MONTEREY LN, KNOXVILLE, TN 37912-4633
(888) 531-2204
Mailing address
2302 MONTEREY LN, KNOXVILLE, TN 37912-4633
(865) 525-4808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000000600
TN
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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