Individual
ERNESTO R CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1630 E REELFOOT AVE, UNION CITY, TN 38261-6021
(731) 885-8095
Mailing address
2114 VALLEY DR, UNION CITY, TN 38261-6011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2458
TN
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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