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Individual

MISS ASHLEY DANIELLE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000001547
TN

Other

Enumeration date
05/02/2007
Last updated
01/18/2012
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