CARISA JANE GULLEDGE

DECATURVILLE, TN
NPI1710060777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  1257)
Enumeration Date2006-10-23
Last Update Date2019-02-07
Business Address
CARISA JANE GULLEDGE COTA/L
524 W MAIN ST
DECATURVILLE, TN 38329-8101
Phone number: 731-852-3591
Mailing Address
CARISA JANE GULLEDGE COTA/L
2877 MCKENZIE RD
PARSONS, TN 38363-3413
Phone number: 731-847-6731