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Contact Information

JESSICA L ADCOCK, COTA/L
900 CLARKSVILLE PROFESSIONAL PARK DRIVE
CLARKSVILLE, TN37043
 Phone: 931-538-6724
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JESSICA L ADCOCK · (Female)

NPI Number 1699002279
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 11/03/2009
Last updated 11/03/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 1302
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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