Individual
KARISSA NICOLE FAYE MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
3305 W END AVE, NASHVILLE, TN 37203-1035
(615) 386-4900
Mailing address
605 N WOODDALE RD, KNOXVILLE, TN 37924-2918
(865) 933-4622
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4487046
TN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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