Individual
KELLY J SLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(865) 531-2204
Mailing address
1725 KIM WATT DR APT 9, KNOXVILLE, TN 37909-1445
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1237
TN
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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