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Individual

DONNA ETHRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
734 EMORY VALLEY RD, OAK RIDGE, TN 37830-7016
(865) 806-5874
Mailing address
734 EMORY VALLEY RD, OAK RIDGE, TN 37830-7016

Taxonomy

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

Other

Enumeration date
03/09/2022
Last updated
03/09/2022
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