Individual
MRS. SAVANNAH GRACE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3887
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3887
TN DEPARTMENT OF HEALTH
TN
01
—
478933
NBCOTA
TN
Enumeration date
12/06/2022
Last updated
01/19/2023
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