Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISA JANE GULLEDGE, COTA/L
Active Sole ProprietorCARISA JANE GULLEDGE, COTA/L is a Occupational Therapy Assistant healthcare provider located in DECATURVILLE, Tennessee. NPI 1710060777 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DECATURVILLE, TN
Registration Details
- NPI Number
- 1710060777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2006 (19.82085640062 yrs)
- Last Updated
- Feb 7, 2019
- License
-
1257 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 W MAIN STDECATURVILLE, TN, 383298101Browse TN providers · Browse ZIP 38329
- Phone
- 7318523591
- Fax
- 7318522283
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.