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Individual

PAMELA SUE GROOMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY

Contact information

Practice address
928 OLD SMITHVILLE RD, MCMINNVILLE, TN 37110-6805
(931) 473-8431
(931) 473-8936
Mailing address
2945 ELAM RD APT F209, MURFREESBORO, TN 37127-6170
(615) 604-0619

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0784
TN
225X00000X
Occupational Therapist
784
TN

Other

Enumeration date
04/13/2018
Last updated
04/13/2018
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