Individual
JAY MATTHEW TOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1630 E REELFOOT AVE, UNION CITY, TN 38261-6021
(731) 885-8095
Mailing address
1361 OLD HOPKINSVILLE RD, CADIZ, KY 42211-9729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015
TN
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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