NPI 1699805473

Lelia Waycaster, OTRL

Practitioner Case Manager/Care Coordinator Elizabethton, TN

Practice location

Address: 629 W Elk Ave, Elizabethton, TN 37643-2559
Phone: (423) 722-2062
Fax: (678) 494-6908
Mailing address: 1028 Knob Creek Rd, Johnson City, TN 37604-5343

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Pediatric Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence 3826 (TN)

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Registry record

NPI: 1699805473
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2007
Record last updated: 4 Mar 2008

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.