Individual
MATTHEW CECILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
298 WARFIELD BLVD, SUITE C, CLARKSVILLE, TN 37043-1828
(931) 906-0440
(931) 920-5070
Mailing address
4600 LOUISE RD, CUMBERLAND FURNACE, TN 37051-9088
(703) 851-6715
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000002508
TN
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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