Individual
MRS. TONYA ALICE QUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL/L
Contact information
Practice address
2700 PARKWOOD AVE, CHATTANOOGA, TN 37404-1730
(423) 242-7123
Mailing address
6049 VERONICA DR, OOLTEWAH, TN 37363-6449
(423) 326-3309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3106
TN
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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