Individual
CARSON DILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
2214 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2860
(423) 928-6464
Mailing address
2214 E FAIRVIEW AVE, JOHNSON CITY, TN 37601-2860
(423) 928-6464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7741
TN
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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