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Individual

MISS SARA HEADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
110 W MARKET ST, SMITHVILLE, TN 37166-1726
(615) 697-3442
Mailing address
179 JERRY WHITE LN, COOKEVILLE, TN 38501-9288
(931) 644-0810

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3270
TN

Other

Enumeration date
07/12/2021
Last updated
07/12/2021
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