Individual
JENNA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
360 DELL TRL, DUNLAP, TN 37327-5511
(423) 949-4651
Mailing address
4910 BEULAH AVE, CHATTANOOGA, TN 37409-1813
(765) 749-9548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000003868
TN
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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