KARISSA BREANNE GREEN

PLEASANT HILL, TN
NPI1770189995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  2258)
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
KARISSA BREANNE GREEN COTA/L
55 W LAKE RD
PLEASANT HILL, TN 38578-3002
Phone number: 931-277-3511
Mailing Address
KARISSA BREANNE GREEN COTA/L
9 PONDEROSA DR
CROSSVILLE, TN 38555-5806
Phone number: 931-267-4693
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