Individual
JERALDINE GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1425 MCFARLAND AVE, ROSSVILLE, GA 30741-2215
(706) 861-0863
(706) 861-3965
Mailing address
181 CECIL LN, CHATTANOOGA, TN 37412-2211
(901) 484-8538
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
514
TN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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