MARLEA TYLER PRIDEMORE

JOHNSON CITY, TN
NPI1609442623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  3548)
Enumeration Date2021-06-01
Last Update Date2021-06-01
Business Address
MARLEA TYLER PRIDEMORE COTA
2412 KNOB CREEK RD
JOHNSON CITY, TN 37604-2586
Phone number: 423-518-0002
Mailing Address
MARLEA TYLER PRIDEMORE COTA
44 KNOLL DR APT C2
BRISTOL, VA 24202-2769
Phone number: 277-451-1915