NPI 1003525817

Jessica Whiteherse Johnson, COTAL

Practitioner Occupational Therapy Assistant Knoxville, TN

Practice location

Address: 310 Corporate Dr Suit 101, Knoxville, TN 37923-3792
Phone: (865) 769-0801
Mailing address: 432 Gaut Rd, Dandridge, TN 37725-3202

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA0000002329 (TN)

Other Occupational Therapy Assistant providers in Tennessee →

Registry record

NPI: 1003525817
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2022
Record last updated: 21 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.