Individual
MS. MELISSA OTTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-3098
(423) 787-6800
Mailing address
526 OLD KENTUCKY RD W, GREENEVILLE, TN 37743-3398
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1811
TN
Other
Enumeration date
07/03/2011
Last updated
07/03/2011
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