BRAD WOOTEN

SPRINGFIELD, TN
NPI1306231956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A781)
Enumeration Date2015-03-31
Last Update Date2015-03-31
Business Address
-- BRAD WOOTEN COTA
3131 TOM AUSTIN HWY
SPRINGFIELD, TN 37172-4801
Phone number: 615-382-7979
Mailing Address
-- BRAD WOOTEN COTA
6 LONGFIELD DR
GREENBRIER, AR 72058-9160
Phone number: 501-208-7180