Individual
TELISA RENA COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N PARKER ST, DAWSON SPRINGS, KY 42408-1320
(270) 936-2319
Mailing address
306 N PARKER ST, DAWSON SPRINGS, KY 42408-1320
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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