Individual
LADAN A HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 WINTER DR, LEBANON, TN 37087-2530
(865) 392-2865
Mailing address
2139 CAREFREE LN, ANTIOCH, TN 37013-3586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3969
TN
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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