Individual
CYNTHIA COLLEEN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
196 SHARP CEMETERY LN, LA FOLLETTE, TN 37766-5941
(423) 201-1529
Mailing address
196 SHARP CEMETERY LN, LA FOLLETTE, TN 37766-5941
(423) 201-1529
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1135
TN
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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