Individual
SANDRA KAY PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 562-0760
Mailing address
2933 HIGHWAY 297, NEWCOMB, TN 37819-5072
(606) 521-0142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1018
TN
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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