Individual
MISS CRISTA L BESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4310 OREGON RD, SPRINGFIELD, TN 37172-6407
(310) 270-7452
Mailing address
4310 OREGON RD, SPRINGFIELD, TN 37172-6407
(310) 270-7452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000001440
TN
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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