Individual
MRS. DONNA JEAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT-LANA
Contact information
Practice address
1811 MEMORIAL CIRCLE, CLARKSVILLE, TN 37043
(931) 302-7313
Mailing address
1609 IROQUOIS RD, CLARKSVILLE, TN 37043-4517
(931) 302-7313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2295
TN
Other
Enumeration date
03/22/2011
Last updated
09/02/2011
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