Individual
ANDREW FREDERICH GRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
(865) 687-1321
Mailing address
9355 TRIUMPH CIR APT 302, LAKELAND, TN 38002-5864
(319) 930-7007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4237
TN
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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