Individual
MRS. BOBBIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916-1112
(865) 525-4131
Mailing address
1806 MAURY CIR, ALCOA, TN 37701-2073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
412775
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412775
—
TN
Enumeration date
02/10/2019
Last updated
02/10/2019
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