Individual
MRS. JESSICA MARIE LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1612 DANDELION CT, NOLENSVILLE, TN 37135-9815
(615) 485-7456
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(865) 392-2838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3210
TN
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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