Individual
PINAKY CHAKRAVARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3141 SHADOW GREEN LN, LAKELAND, TN 38002-8210
(901) 384-7468
Mailing address
3141 SHADOW GREEN LN, LAKELAND, TN 38002-8210
(901) 384-7468
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TN1006
TN
Other
Enumeration date
05/17/2007
Last updated
01/28/2009
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