Individual
LORRETTA LYNNE GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9 DOROTHY CV, JACKSON, TN 38305-1677
(731) 453-5121
Mailing address
9 DOROTHY CV, JACKSON, TN 38305-1677
(731) 453-5121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3665
TN
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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