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Individual

CARRIE MARIE STANAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6142 SHALLOWFORD RD STE 104, CHATTANOOGA, TN 37421-7216
(423) 463-0683
Mailing address
6142 SHALLOWFORD RD STE 104, CHATTANOOGA, TN 37421-7216
(423) 463-0683
(423) 250-1651

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119-008802
VA
225X00000X
Occupational Therapist
Primary
6445
TN
225X00000X
Occupational Therapist
OT.0005376
CO

Other

Enumeration date
03/14/2018
Last updated
11/11/2021
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