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Individual

TRISTA MOSELEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
812 WATTENBARGER RD, CROSSVILLE, TN 38571-1212
(931) 267-8758
Mailing address
812 WATTENBARGER RD, CROSSVILLE, TN 38571-1212
(931) 267-8758

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1819
TN
225X00000X
Occupational Therapist
7413
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3158
THERAPY
Enumeration date
01/07/2019
Last updated
08/25/2023
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