Individual
LAURA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
55 NURSING HOME RD, CHUCKEY, TN 37641-5579
(423) 257-6761
Mailing address
55 NURSING HOME RD, CHUCKEY, TN 37641-5579
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
4038
TN
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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