NPI 1154092419

Charles Alexander, COTA

Practitioner Occupational Therapy Assistant Johnson City, TN

Practice location

Address: 156 Shadybrook Dr, Johnson City, TN 37604-3514
Phone: (423) 794-6315

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA0000003226 (TN)

Other Occupational Therapy Assistant providers in Tennessee →

Registry record

NPI: 1154092419
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2021
Record last updated: 25 Sep 2021

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.