Individual
JENNIFER DENISE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
700 NUCKOLLS RD, BOLIVAR, TN 38008-1531
(731) 658-4707
Mailing address
101 HINES BLVD APT D, BOLIVAR, TN 38008-1155
(731) 609-7888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
TN
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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