SearchTennessee224Z00000X

Carisa Gulledge, COTA/L

NPI 1710060777 · on the registry since 2006 · sole proprietor

Practice

Address
524 W Main St
Decaturville, TN 38329
Phone
(731) 852-3591
Fax
(731) 852-2283
Organisation at this address
Black Wolf Healthcare Llc
Westwood Health Care And Rehabilitation Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee