Individual
MRS. KIMBERLY D JESSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-5535
(423) 224-5544
Mailing address
802 E HILLCREST DR, JOHNSON CITY, TN 37604-4412
(423) 483-8301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3597
TN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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