Individual
MRS. JAMIE LEA BARAHONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
370 OLD SHACKLE ISLAND RD, HENDERSONVILLE, TN 37075-3082
(615) 824-0720
Mailing address
343 E SMITH ST, GALLATIN, TN 37066-2942
(615) 509-3443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3097
TN
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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