Individual
COURTNEY DIANNE MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
600 SPEARS AVE, CHATTANOOGA, TN 37405-3535
(423) 580-3916
Mailing address
600 SPEARS AVE, CHATTANOOGA, TN 37405-3535
(423) 580-3916
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3698
TN
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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