Individual
MISS WHITNEY PAIGE DISNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
120 CAVETTE HILL LN # NHC, KNOXVILLE, TN 37934-6673
(865) 777-4000
Mailing address
663 EUGENE DISNEY LN, GREENBACK, TN 37742-2442
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2003
TN
Other
Enumeration date
10/18/2011
Last updated
01/14/2019
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