PHILIP L EDGEMON

SWEETWATER, TN
NPI1063985943
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  2873)
Enumeration Date2019-01-03
Last Update Date2019-01-03
Business Address
PHILIP L EDGEMON COTA
520 OLD HIGHWAY 68
SWEETWATER, TN 37874-6258
Phone number: 423-351-1050
Mailing Address
PHILIP L EDGEMON COTA
520 OLD HIGHWAY 68
SWEETWATER, TN 37874-6258
Phone number: