Individual
JACKIE LEE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
825 RUNYAN DR, CHATTANOOGA, TN 37405-1225
(423) 875-6723
Mailing address
175 SILVER MAPLE CIR SW, CLEVELAND, TN 37311-2502
(423) 284-6011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1322
TN
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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