NPI 1083339113
Andrea Bishop, COTAL
Practice location
- Address
- 2300 Pavilion Dr, Kingsport, TN 37660-4622
- Phone
- (423) 765-9655
- Mailing address
- 604 Wentworth St, Kingsport, TN 37660-1848
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1083339113
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Oct 2022
- Record last updated
- 11 Oct 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.