Individual
MS. SARA-LINDA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
175 HOSPITAL DR, MC KENZIE, TN 38201-1636
(731) 352-3908
Mailing address
PO BOX 195, MC EWEN, TN 37101-0195
(931) 209-3952
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1766
TN
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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