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Individual

JESSICA C GOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 434-2016
Mailing address
363 HILLIARD AVE UNIT 215, ASHEVILLE, NC 28801-0306
(336) 263-4347

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13015
NC
224Z00000X
Occupational Therapy Assistant
Primary
2422
TN
224Z00000X
Occupational Therapy Assistant
A4289
KY

Other

Enumeration date
01/02/2012
Last updated
04/27/2026
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