Individual
MISS STEPHANIE PAIGE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 646-7216
Mailing address
815 SOUTH WALNUT AVENUE, COOKEVILLE, TN 38501
(931) 638-2564
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1689
TN
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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