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Individual

MRS. SHENOAH JADE VICARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2214 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2860
(423) 928-6464
Mailing address
100 OLD CASTLE RD, KINGSPORT, TN 37660-7208
(423) 480-7518

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8289
TN

Other

Enumeration date
05/05/2025
Last updated
05/05/2025
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