# OTTHERAPYEDGE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871164251
- **Authorized official:** STEDMON HOPKINS OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (502) 741-5554

## Contact information

- **Practice address:** 2317 WINDCASTLE LN, KNOXVILLE, TN 37923-1379
- **Practice address phone:** (502) 741-5554
- **Mailing address:** 2317 WINDCASTLE LN, KNOXVILLE, TN 37923-1379
- **Mailing address phone:** (502) 741-5554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2021
- **Last updated:** 07/14/2021