Individual
MRS. KELSEY LEE WANAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 VOLUNTEER DR, PARIS, TN 38242-5472
(731) 642-2535
Mailing address
800 VOLUNTEER DR, PARIS, TN 38242-5472
(731) 642-2535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2406
TN
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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