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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRISTAN FAITH BROCK, COTA/L

Active Sole Proprietor

TRISTAN FAITH BROCK, COTA/L is a Occupational Therapy Assistant healthcare provider located in LA FOLLETTE, Tennessee. NPI 1669716023 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LA FOLLETTE, TN

Registration Details

NPI Number
1669716023
Provider Type
Individual
Gender
Female
NPI Issued
Nov 23, 2012 (13.680860979428 yrs)
Last Updated
Nov 23, 2012
License
1588 (TN)
Sole Proprietor
Yes

Practice Information

Address
136 DAVIS LN
LA FOLLETTE, TN, 377663118
Browse TN providers · Browse ZIP 37766
Phone
4234940550
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in LA FOLLETTE, TN

Name Credential NPI
ASHLEY N DAVIS COTA/L 1053655589
PAMELA ANN TURNER COTA/L 1619211125
JAMES HOLSEMBACK COTA/L 1770827271
AMANDA REYNOLDS OTA/L 1902140452
SANDRA KAY PERKINS COTA/L 1356685754
MR. SHANE PRATER COTA 1689013955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.