Individual
LACHELLE RENEE CARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-6152
Mailing address
1629 ROCKY SPRINGS RD, MADISONVILLE, TN 37354-7620
(423) 442-3216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012
TN
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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