Individual
CARRINA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4743 YORK HWY, HILHAM, TN 38568-5909
(931) 783-3536
Mailing address
4743 YORK HWY, HILHAM, TN 38568-5909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1672
TN
Other
Enumeration date
03/18/2015
Last updated
07/18/2024
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