Individual
JESSICA DISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7112 CALGARY DR, CORRYTON, TN 37721-3572
(865) 254-3402
Mailing address
7112 CALGARY DR, CORRYTON, TN 37721-3572
(865) 254-3402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2484
TN
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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