Individual
MRS. KAYLA GABRIELLE CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
217 SHADOWS LAWN DR, ATHENS, TN 37303-3951
(423) 368-8842
Mailing address
217 SHADOWS LAWN DR, ATHENS, TN 37303-3951
(423) 368-8842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5400
TENNESSEE STATE BOARD OF OCCUPATIONAL THERAPY
TN
Enumeration date
02/16/2023
Last updated
02/16/2023
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