Individual
PATRICIA BLACK LONGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LABORATORY RD, OAK RIDGE, TN 37830-6911
(865) 482-7698
(865) 482-2652
Mailing address
1514 REAVES RD, KNOXVILLE, TN 37912-5511
(865) 659-7961
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000001651
TN
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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