Individual
LAURA CATHERINE KALCHBRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
308 LAKE DR, SOMERVILLE, TN 38068-9716
(901) 465-9861
Mailing address
8588 SUNNYVALE ST S, CORDOVA, TN 38018-1496
(901) 747-8651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000003291
TN
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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