IndividualActive
Andrea Young, COTA
NPI 1164544870 · Occupational Therapy Assistant · Greeneville, TN
Provider details
- NPI number
- 1164544870
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 096 (TN)
Mailing address
1616 Seminole Dr
Johnson City, TN 37604-7052
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.