Individual
REBECCA JO VANSKIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1204 FRYE ST, ATHENS, TN 37303-3052
(423) 745-0434
Mailing address
631 PENNSYLVANIA AVE, ETOWAH, TN 37331-1325
(352) 346-7115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3100
TN
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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