Organization
SMOKY MOUNTAIN OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE T WILLIAMS OTD OTRL (MEMBER MANAGER)
(865) 201-0213
Entity
Organization
Contact information
Practice address
200 E BROADWAY AVE STE 150, MARYVILLE, TN 37804-5761
(865) 201-0213
(865) 500-3730
Mailing address
200 E BROADWAY AVE STE 150, MARYVILLE, TN 37804-5761
(865) 201-0213
(865) 500-3730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/27/2020
Last updated
11/12/2024
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