Individual
MISS COLLEEN M DOUGHERTY BULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8904 CROSS PARK DR, KNOXVILLE, TN 37923-4703
(865) 690-2671
(865) 690-6445
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8930
(423) 285-6647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3785
TN
Other
Enumeration date
03/04/2008
Last updated
09/02/2015
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