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CHASATI KEIUNNA CHAMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
1612 RIVERCHASE BLVD, MADISON, TN 37115-2056
(615) 999-7656

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1909
TN

Other

Enumeration date
06/11/2019
Last updated
06/11/2019
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