Individual
MS. AMY RENEE' KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 541-5936
Mailing address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 541-5936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14929
TN
Other
Enumeration date
09/27/2007
Last updated
02/03/2023
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