Kimberly Ann Ferguson, COTA

NPI #1245520071 in Madison, Tennessee

Provider Information

NPI Number: 1245520071
Entity Type: Individual
Name: Kimberly Ann Ferguson, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: COTA
Enumeration Date: Apr 13, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 1103 S GRAYCROFT AVE
City: Madison
State: Tennessee
ZIP Code: 37115-4427
Phone: (615) 406-5520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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