Individual
BONNIE JEAN CARDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1012 JAMESTOWN WAY, MARYVILLE, TN 37803-5865
(865) 984-7400
Mailing address
1012 JAMESTOWN WAY, MARYVILLE, TN 37803-5865
(865) 984-7400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1136
TN
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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