Individual
ANGIE NICOLE CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NETHERLAND LN, KINGSPORT, TN 37660-7245
(423) 245-0630
Mailing address
624 SLEEPY HOLLOW LN, GATE CITY, VA 24251-4850
(276) 594-6055
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3093
TN
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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