Individual
MRS. REKHA S GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-5535
Mailing address
2329 LOUITA DR, KINGSPORT, TN 37660-1166
(423) 245-2931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000002924
TN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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