Individual
KARA WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
897 EVERGREEN ST, DRESDEN, TN 38225-2305
(731) 364-2450
Mailing address
1097 MIDDLE RD, MILAN, TN 38358-5557
(731) 414-3349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2485
TN
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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