Individual
GENNA BRIANNE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6801 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909-1152
(865) 588-7661
Mailing address
1508 MARCONI DR, KNOXVILLE, TN 37909-1033
(865) 765-4939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3921
TN
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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