CHANNING BEARDEN COTA/L
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1760354047- Provider Type
- Individual Provider (NPI-1)
- Credentials
- COTA/L
- Status
- Active
Contact & Location
- Address
- 5010 TROTWOOD AVE, COLUMBIA, TN, 384015074
- Phone
- (931) 398-6300
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: TN #4306
All Addresses
MAILING
5010 TROTWOOD AVE
COLUMBIA, TN, 384015074