Individual
BECKY CAMPBELL
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
(423) 282-5245
Mailing address
596 VICKARS RD, BLUFF CITY, TN 37618-3302
(423) 383-6836
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2950
TN
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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