Individual
REBEKAH KATE CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
303 MERMAN RD, KINGSPORT, TN 37663-3450
(423) 502-7678
Mailing address
303 MERMAN RD, KINGSPORT, TN 37663-3450
(423) 502-7678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4898
TN
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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