Individual
GRACE POWELL STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 MCCALLIE AVE STE 100, CHATTANOOGA, TN 37404-2927
(931) 510-8384
Mailing address
1515 DUNCAN AVE, CHATTANOOGA, TN 37404-2922
(931) 510-8384
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
05/03/2021
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