Individual
MRS. JESSICA ELAINE MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4309 NORTHGATE DR, KNOXVILLE, TN 37938-4344
(865) 414-3788
Mailing address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916-1112
(865) 525-4131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1516
TN
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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