Individual
LAUREN ELAINE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 493-2909
(423) 493-2959
Mailing address
615 DERBY ST, CHATTANOOGA, TN 37404-1632
(423) 493-2909
(423) 493-2959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000001597
TN
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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