Individual
MRS. KELSEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-5411
Mailing address
426 HUDSON RD, LAWRENCEBURG, TN 38464-6104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2190
TN
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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