Individual
MR. DONALD ALFRED WYLIE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
278 DRY VALLEY RD, COOKEVILLE, TN 38506-5461
(931) 537-6524
Mailing address
278 DRY VALLEY RD, COOKEVILLE, TN 38506-5461
(931) 537-6524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0758
TN
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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