Individual
REBEKAH EDITH KONKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
900 TRADE ST., MORRISTOWN, TN 37813
(423) 254-1978
(423) 289-1072
Mailing address
P.O. BOX 1091, MORRISTOWN, TN 37816
(423) 254-1978
(423) 289-1072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5173
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018282
—
TN
Enumeration date
03/22/2015
Last updated
01/27/2023
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