Provider Demographics
NPI:1780918110
Name:DUGGER, JANET LEIGH (MSOTR/L, CPAM)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LEIGH
Last Name:DUGGER
Suffix:
Gender:F
Credentials:MSOTR/L, CPAM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HIGHWAY 70 N
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-4001
Mailing Address - Country:US
Mailing Address - Phone:423-272-3099
Mailing Address - Fax:
Practice Address - Street 1:109 HIGHWAY 70 N
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-4001
Practice Address - Country:US
Practice Address - Phone:423-272-3099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2010-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4136225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist