CHARLES ALEXANDER

JOHNSON CITY, TN
NPI1154092419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  ota0000003226)
Enumeration Date2021-09-25
Last Update Date2021-09-25
Business Address
CHARLES ALEXANDER COTA
156 SHADYBROOK DR
JOHNSON CITY, TN 37604-3514
Phone number: 423-794-6315
Mailing Address
CHARLES ALEXANDER COTA
156 SHADYBROOK DR
JOHNSON CITY, TN 37604-3514
Phone number: 423-794-6315