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

KAGAN MARIE QUALLS, COTA/L

Active

KAGAN MARIE QUALLS, COTA/L is a Occupational Therapy Assistant healthcare provider located in NEWBERN, Tennessee. NPI 1831876077 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · NEWBERN, TN

Registration Details

NPI Number
1831876077
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2023 (3.1413758146812 yrs)
Last Updated
Jun 29, 2023
License
3987 (TN)

Practice Information

Address
2200 LEXIE COBB RD
NEWBERN, TN, 380595256
Browse TN providers · Browse ZIP 38059
Phone
7316762000
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.