Individual
PAULA JEAN CIACELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT L
Contact information
Practice address
912 S GAY ST, KNOXVILLE, TN 37902-1814
(865) 594-1540
Mailing address
330 ISAIAH CIR, SEYMOUR, TN 37865-5062
(865) 594-4449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
199
TN
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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