LYDIA MARIE ROOT

ATHENS, TN
NPI1467182014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  7356)
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2022-06-15
Last Update Date2023-07-21
Business Address
LYDIA MARIE ROOT
2090 W MADISON AVE
ATHENS, TN 37303-3950
Phone number: 423-405-3075
Mailing Address
LYDIA MARIE ROOT
289 HOYAL LN
SPRING CITY, TN 37381-4124
Phone number: 612-816-6780