Individual
MR. JEREMIAH M CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
377 CLONCE ST, WEBER CITY, VA 24290-7269
(276) 477-5640
Mailing address
3012 CALTON HL, KINGSPORT, TN 37664-5783
(903) 724-9541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007866
VA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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