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1407310998
LISA COULSON
MARYVILLE, TN
NPI
1407310998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN Ota2577)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
LISA COULSON Cota/L
2320 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5316
Phone number: 865-273-8300
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Mailing Address
LISA COULSON Cota/L
2320 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5316
Phone number:
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