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Contact Information

MAGAN R BRISSEL, COTA
1842 WILMA RUDOPH BLVD
CLARKSVILLE, TN37040
 Phone: 931-906-0440
 Fax: 931-920-5070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MAGAN R BRISSEL · (Female)

NPI Number 1710169347
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 12/05/2007
Last updated 12/05/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 1573
  • TN Other 1573 LICENSE TN
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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