1699002279

Everything you always wanted to know about ADCOCK LEE JESSICA COTA/L but were afraid to ask.

ADCOCK LEE JESSICA COTA/L

You can also download the this 1699002279 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
ADCOCK LEE JESSICA COTA/L
Gender:
Female
Enumeration date:
2009-11-03
Last update date:
2009-11-03
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
224Z00000X Occupational Therapy Assistant TN 1302 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6155661217
Practice Location Address Telephone Number 9315386724

Addresses

Type Address City State Postal Country
Mailing Address 3504 HIGHWAY 12 N ASHLAND CITY TN 37015 TN
Practice Location Address 900 CLARKSVILLE PROFESSIONAL PARK DRIVE CLARKSVILLE TN 0 TN