Individual
JEREMY ALLEN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
108 WILKIE RD, WARTBURG, TN 37887-3828
(423) 539-6375
Mailing address
108 WILKIE RD, WARTBURG, TN 37887-3828
(423) 539-6375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000003163
TN
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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