Individual
TONI BURCHETT EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
120 CAVETTE HILL LN, KNOXVILLE, TN 37934-6673
(865) 777-4000
Mailing address
12828 STAHL DR, KNOXVILLE, TN 37934-0868
(865) 603-4542
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0162
TN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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