Individual
GINGER LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
720 HIGHLAND AVE NW, CLEVELAND, TN 37311-1834
(423) 599-2264
Mailing address
409 GRADY RD, ETOWAH, TN 37331-1903
(423) 599-2264
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2545
TN
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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