Individual
ASHLEY MAE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
120 PITCOCK LN, CELINA, TN 38551-4058
(931) 243-3139
Mailing address
99 ROSS BOLES RD, CELINA, TN 38551-6137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2271
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2271
COTA/L
TN
Enumeration date
01/09/2019
Last updated
01/09/2019
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