Individual
CHASTITY JOLENE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 OLD ALABAMA RD SW, MC DONALD, TN 37353-5855
(276) 202-8138
Mailing address
700 OLD ALABAMA RD SW, MC DONALD, TN 37353-5855
(276) 202-8138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000003856
TN
Other
Enumeration date
02/07/2012
Last updated
11/14/2023
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