Individual
ASHLEA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5010 TROTWOOD AVE, COLUMBIA, TN 38401-5074
(931) 398-6300
Mailing address
5331 MILL RUN DR, MARIETTA, GA 30068-2862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2866
TN
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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