Individual
MRS. MARCELLA DIANNE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916
(865) 525-4131
Mailing address
1120 TRANQUILLA DR, KNOXVILLE, TN 37919-8062
(865) 525-4131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1965
TN
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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