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Individual

JESSE HOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 BRIARCLIFF AVE APT G2, OAK RIDGE, TN 37830-8781
(865) 712-4817
Mailing address
301 BRIARCLIFF AVE APT G2, OAK RIDGE, TN 37830-8781

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4581
TN

Other

Enumeration date
05/27/2015
Last updated
05/27/2015
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