Individual
MASON MERCEDES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 528-2541
Mailing address
951 WOODS LN, PALL MALL, TN 38577-4606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3273
TN
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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