Individual
JESSICA COGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WALNUT ST, COLUMBIA, TN 38401
(931) 381-3112
Mailing address
3484 CALAIS CIR, ANTIOCH, TN 37013-5514
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2718
TN
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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