Individual
MARY GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2871 HIGHWAY 31 W, WHITE HOUSE, TN 37188-5226
(615) 672-3636
Mailing address
439 OLD STAGECOACH LN, ERIN, TN 37061-4531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3733
TN
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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