Individual
BRENDA SUE WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 VOLUNTEER DR, PARIS, TN 38242-5472
(731) 642-2535
Mailing address
980 HARGROVE RD, CAMDEN, TN 38320-6911
(931) 209-3073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2122
TN
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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