Kagan Marie Qualls, COTA/L

NPI #1831876077 in Newbern, Tennessee

Provider Information

NPI Number
1831876077
Entity Type
Individual
Name
Kagan Marie Qualls, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jun 29, 2023
Last Updated
Jun 29, 2023

Practice Location

Address
2200 LEXIE COBB RD
ZIP Code
38059-5256
Phone
(731) 676-2000

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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