Individual
SUSAN NETHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7000
Mailing address
323 NELSON AVE, PINEY FLATS, TN 37686-4223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4010
TN
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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