Individual
ELIZABETH SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2030 CHILHOWEE MEDICAL PARK, MARYVILLE, TN 37804-5285
(865) 982-3400
(865) 982-3410
Mailing address
PO BOX 5209, MARYVILLE, TN 37802-5209
(865) 892-3400
(865) 982-3410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC001398L
PA
225XP0200X
Pediatric Occupational Therapist
Primary
5140
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019358970002
MA
PA
Enumeration date
04/16/2007
Last updated
08/07/2015
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