Individual
RONALD H TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
9430 PARK WEST BLVD, SUITE 230, KNOXVILLE, TN 37923-4200
(865) 560-8550
(865) 560-8551
Mailing address
PO BOX 32569, KNOXVILLE, TN 37930-2569
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1592
TN
Other
Enumeration date
10/16/2006
Last updated
09/30/2009
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