Individual
MRS. ALYSSA JADE PIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
993 E COLLEGE ST, PULASKI, TN 38478-4432
(931) 363-3572
Mailing address
993 E COLLEGE ST, PULASKI, TN 38478-4432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2319
TN
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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