Diane Steele Agee, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Harriman, TN
NPI 1336483643 · NPPES record last updated Nov 27, 2012
Key facts
- NPI
- 1336483643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0713 (TN)
- Practice address
- 257 Patton LN
Harriman, TN 37748-8618 - Phone
- (865) 354-8861
- NPI assigned
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0713 | TN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0713 | TN | Yes |
Addresses
Primary practice location
257 Patton LN
Harriman, TN 37748-8618
Mailing address
257 Patton LN
Harriman, TN 37748-8618
Phone (865) 354-8861
Other providers in Harriman, TN
- Cathy Denise Abston
- Abigail Marie Alexander
- Andavea Nita Alberta Alexander
- Allcare Family Practice of Roane County LLC
- Ann Allison
- Amanda S. Ferguson FNP Inc
All providers in Harriman, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.