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Individual

MS. SANDRA K FLETCHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL,CHT,FAOTA,MPA

Contact information

Practice address
748 WALNUT KNOLL LN, SUITE 1, CORDOVA, TN 38018-3110
(901) 507-4780
(901) 507-4786
Mailing address
7180 HELENE DR, MILLINGTON, TN 38053-4753
(901) 872-6025
(901) 873-0798

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000000002
TN
225XH1200X
Hand Occupational Therapist
9105000371

Other

Enumeration date
05/23/2007
Last updated
07/12/2011
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