Individual
MS. NICOLE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L, PTA
Contact information
Practice address
360 DELL TRL, DUNLAP, TN 37327-5511
(423) 949-4651
Mailing address
PO BOX 853, PIKEVILLE, TN 37367-0853
(423) 949-2095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3008
TN
225X00000X
Occupational Therapist
Primary
3519
TN
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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