Individual
SHANEL SANDRA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 RUNYAN DR, CHATTANOOGA, TN 37405-1225
(423) 875-6723
Mailing address
825 RUNYAN DRIVE, CHATTANOOGA, TN 37405
(423) 875-6723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5233
AL
225X00000X
Occupational Therapist
Primary
6576
TN
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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