Individual
MS. BELLA CHANDRASHEKHAR TASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1230 JOHNSON FERRY PL STE G10, MARIETTA, GA 30068-2045
(770) 321-6705
Mailing address
1230 JOHNSON FERRY PL STE G10, MARIETTA, GA 30068-2045
(770) 906-0658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007244
GA
225X00000X
Occupational Therapist
OT19606
FL
Other
Enumeration date
01/01/2019
Last updated
02/27/2020
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