Individual
MRS. KAYLA BROOKE MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
406 E MOUNTAIN VIEW RD, JOHNSON CITY, TN 37601-1298
(423) 218-0323
Mailing address
1136 MIDLAND DR, KINGSPORT, TN 37664-3054
(423) 335-3695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5163
TN
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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