Individual
MRS. EMILY MARIE HARRELSON DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1321 CEDAR LN, TULLAHOMA, TN 37388-2227
(931) 222-4207
Mailing address
27567 GATLIN RD, ARDMORE, AL 35739-7707
(256) 617-3799
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3394
TN
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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