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Individual

MRS. VIRGINIA MCBRIDE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
106 LOFTUS LN, GREENEVILLE, TN 37745-7402
(423) 620-5234

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000001209
TN

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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