Provider Demographics
NPI:1710296579
Name:DIGOU, MARRIAH TERESA (COTA/L)
Entity Type:Individual
Prefix:
First Name:MARRIAH
Middle Name:TERESA
Last Name:DIGOU
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:MARRIAH
Other - Middle Name:TERESA
Other - Last Name:ARMBRUSTER-DAYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1100-A TED CROZIER SR BLVD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043
Mailing Address - Country:US
Mailing Address - Phone:931-906-0440
Mailing Address - Fax:931-920-5070
Practice Address - Street 1:1100-A TED CROZIER SR BLVD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043
Practice Address - Country:US
Practice Address - Phone:931-906-0440
Practice Address - Fax:931-920-5070
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1905224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant