Individual
JENNIFER CHENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5010 TROTWOOD AVE, COLUMBIA, TN 38401
(931) 398-6300
Mailing address
2999 DEMASTUS RD, CULLEOKA, TN 38451-8012
(304) 516-9880
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2927
TN
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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