AMANDA CLARK

FAIRVIEW, TN
NPI1992257281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  2598)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA16750)
224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0001097)
224Z00000X Occupational Therapy Assistant
(Licence: MT  OTP-OTA-LIC-6114)
Enumeration Date2016-11-02
Last Update Date2018-08-29
Business Address
AMANDA CLARK COTA
7146 BAHNE RD
FAIRVIEW, TN 37062
Phone number: 615-418-5498
Mailing Address
AMANDA CLARK COTA
7146 BAHNE RD
FAIRVIEW, TN 37062-8207
Phone number: 615-418-5498