Individual
MR. LEROY TALBERT ALTMAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L/COTA
Contact information
Practice address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 629-1451
Mailing address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 629-1451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
405449
TN
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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