Individual
KATELYN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 NEWPORT ST NW APT B, CHARLESTON, TN 37310-6318
(423) 506-5379
Mailing address
136 NEWPORT ST NW APT B, CHARLESTON, TN 37310-6318
(423) 506-5379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7845
TN
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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