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Nancy Wilburn, CNA

Occupational Therapist, Physical Rehabilitation in Knoxville, TN. Individual provider (NPI-1).

NPI number1104563451
StatusActive
Last updated in NPPESMay 18, 2022

Details

NPI
1104563451
Entity type
Individual (NPI-1)
Name
Nancy Wilburn
Credential
CNA
Sex
Female
Sole proprietor
No
Enumeration date
May 18, 2022
Certification date
May 18, 2022
Last updated
May 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0019X Occupational Therapist, Physical Rehabilitation–TNYes

Practice location

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347

Phone 865-392-2853

Mailing address

122 Boat Dock Dr
Dandridge, TN 37725-6502

Phone 865-203-2203

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