Individual
LAKEN N INGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 NETHERLAND LN, KINGSPORT, TN 37660-7245
(423) 245-0360
Mailing address
22185 WILLOW CREEK CIR, BRISTOL, VA 24202-2612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2297
TN
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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