Individual
MR. JOHN KENN EKUNDAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
928 OLD SMITHVILLE RD, NHC MCMINNVILLE, MCMINNVILLE, TN 37110
(931) 473-8431
(931) 473-3941
Mailing address
419 ORIOLE DRIVE, MCMINNVILLE, TN 37110
(931) 507-6048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1568
TN
Other
Enumeration date
10/28/2006
Last updated
07/08/2007
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