CODIE WILSON

CLEVELAND, TN
NPI1861942062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  OT0000004065)
Enumeration Date2016-10-11
Last Update Date2016-10-11
Business Address
-- CODIE WILSON
1113 COOKDALE TRL NW
CLEVELAND, TN 37312-3610
Phone number: 423-339-7369
Mailing Address
-- CODIE WILSON
1113 COOKDALE TRL NW
CLEVELAND, TN 37312-3610
Phone number:
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