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Individual

MRS. ALYSSA COUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
215 RICHARDSON WAY, MAYNARDVILLE, TN 37807-3803
(865) 992-5816
Mailing address
133 PANTHER DR, APT. 278, CUMBERLAND GAP, TN 37724-4475
(828) 226-5406

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5441
TN

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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