Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA 1070 | TN |
NPI | 1013927219 |
---|---|
Provider Name | Karen Varney |
First Address | Crossville, TN 38571-0235 |
Second Address | Crossville, TN 38555-7650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/07/2007 |