Individual
JESSICA LEE ADCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
900 CLARKSVILLE PROFESSIONAL PARK DRIVE, CLARKSVILLE, TN 37043
(931) 538-6724
Mailing address
3504 HIGHWAY 12 N, ASHLAND CITY, TN 37015-6131
(615) 566-1217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1302
TN
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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