Individual
MELANIE AMANDA CHANDRAKASEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.D., O.T.R./L
Contact information
Practice address
909 N LOCUST AVE, SUITE 109, LAWRENCEBURG, TN 38464-2871
(931) 766-6374
Mailing address
111 WOODSIDE LN, LAWRENCEBURG, TN 38464-7714
(931) 762-5179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3784
TN
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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