Individual
JOCELYN PAIGE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
503 TALL TREES LN, NASHVILLE, TN 37209-5146
(903) 388-8786
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2281
TN
Other
Enumeration date
08/25/2013
Last updated
08/25/2013
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