Individual
AMANDA KAY WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
244 OAKWOOD DR, LEWISBURG, TN 37091-3153
(931) 359-3563
Mailing address
2204 DOWELL BRANCH RD, COLUMBIA, TN 38401-1537
(931) 698-1462
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2021
TN
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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