Individual
CHARLES ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
156 SHADYBROOK DR, JOHNSON CITY, TN 37604-3514
(423) 794-6315
Mailing address
156 SHADYBROOK DR, JOHNSON CITY, TN 37604-3514
(423) 794-6315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000003226
TN
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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