Individual
MRS. JUDITH ANN UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3209 BRISTOL HWY, JOHNSON CITY, TN 37601-1515
(423) 282-3311
Mailing address
125 BRADLEY RD, UNICOI, TN 37692-4252
(423) 743-4970
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0048
TN
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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