Individual
LUCRETIA FAYE CHANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9150
Mailing address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3910
TN
Other
Enumeration date
10/22/2014
Last updated
01/13/2017
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