Individual
NADEZHDA USOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CAVETTE HILL LN, KNOXVILLE, TN 37934-6673
(865) 777-4000
Mailing address
120 CAVETTE HILL LN, KNOXVILLE, TN 37934-6673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2533
TN
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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