Individual
MS. SANDRA LOUISE LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1414 COUNTY HOSPITAL RD, NASHVILLE, TN 37218-3023
(615) 862-6854
Mailing address
2403 DALEBROOK CT, NASHVILLE, TN 37206-1339
(615) 262-1502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0237
TN
Other
Enumeration date
02/12/2012
Last updated
02/12/2012
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