Individual
TAMMY SUE BUXKEMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(404) 906-1142
Mailing address
3770 PENTEL CT, ATLANTA, GA 30360-1537
(404) 906-1142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001012
GA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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