Individual
MAKAYLA GRACE CHOATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
370 S LOWE AVE, COOKEVILLE, TN 38501-4730
(606) 224-6915
(931) 400-0726
Mailing address
2610 N YORK HWY, PALL MALL, TN 38577-5201
(931) 704-0949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3332
TN
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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