Individual
KADIE LYNN VERSTRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1204 FRYE ST, ATHENS, TN 37303-3052
(423) 745-0434
Mailing address
2551 BANCROFT RD, MC DONALD, TN 37353-5317
(423) 718-6560
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3859
TN
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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