Individual
JOHN DAVID WEIDENHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 W. NORTH 3RD STREET, MORRISTOWN, TN 37814-4038
(423) 581-4761
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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