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Individual

WHITNEY PENDERGRASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
368 QUARRY LOOP RD, MT JULIET, TN 37122-7206
(615) 443-4445
Mailing address
368 QUARRY LOOP RD, MT JULIET, TN 37122-7206

Taxonomy

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

Other

Enumeration date
10/11/2018
Last updated
10/11/2018
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