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Individual

JENNIFER LYNN DUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
271 MOSS GROVE BLVD, KNOXVILLE, TN 37922-4458
(405) 986-5622
Mailing address
398 CEDAR PARK DR, LOUDON, TN 37774-2026
(724) 889-3351

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3778
TN

Other

Enumeration date
05/12/2022
Last updated
05/12/2022
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