Individual
TANYA J WAREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
914 INDUSTRIAL PARK RD, DANDRIDGE, TN 37725-4700
(865) 397-3333
Mailing address
293 MOUNT DR APT 1404, SEVIERVILLE, TN 37876-1826
(480) 262-7664
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000003793
TN
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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