Individual
JAY ALAN DEDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSS
Contact information
Practice address
6711 MOUNTAIN VIEW RD STE 115, OOLTEWAH, TN 37363-6667
(423) 238-1127
(423) 238-1277
Mailing address
6711 MOUNTAIN VIEW RD STE 115, OOLTEWAH, TN 37363-6667
(423) 238-1127
(423) 238-1277
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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