Individual
MRS. SUSAN POPE CHINOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 232-2866
(423) 722-2063
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 232-2866
(423) 722-2063
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT0000000045
TN
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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