Individual
CAROL BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1012 JAMESTOWN WAY, MARYVILLE, TN 37803-5865
(865) 984-7400
Mailing address
904 HENRIETTA DR, KNOXVILLE, TN 37912-3154
(865) 688-3660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000001598
TN
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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