Individual
SUSAN SAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
187 GALLAHER RD, KINGSTON, TN 37763-4721
(865) 376-4620
(865) 376-1759
Mailing address
187 GALLAHER RD, KINGSTON, TN 37763-4721
(865) 376-4620
(865) 376-1759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
521
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 521
LICENSE NUMBER
TN
Enumeration date
07/31/2007
Last updated
07/31/2007
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