Individual
SALLIE ELISABETH MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 528-5516
Mailing address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2287
TN
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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