Individual
JEREMY A CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
887 WOODLAWN RD, CROSSVILLE, TN 38555-5449
(931) 742-1156
Mailing address
220 MYRTLE AVE, CROSSVILLE, TN 38555-5202
(931) 742-1156
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
TN
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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