Individual
MRS. STEPHANIE DAWN ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 646-7126
Mailing address
1221 BUCKINGHAM PL, COOKEVILLE, TN 38501-0730
(931) 510-6085
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
898
TN
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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