Individual
MS. DIANE STEELE AGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
257 PATTON LN, HARRIMAN, TN 37748-8618
(865) 354-8861
Mailing address
257 PATTON LN, HARRIMAN, TN 37748-8618
(865) 354-8861
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0713
TN
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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