Individual
SHAWANA CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SYCAMORE ST, COLUMBIA, TN 38401-4457
(931) 797-5547
Mailing address
113 SYCAMORE ST, COLUMBIA, TN 38401-4457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1857
TN
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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