Individual
MRS. JENNA KAITLYN CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 RIVER RD, LOUDON, TN 37774-1042
(615) 614-8833
(615) 614-8811
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 805-1511
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7112
TN
Other
Enumeration date
11/09/2021
Last updated
07/29/2022
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