Individual
CAROLINE HARBER VANTREASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
3425 KNIGHT DR, WHITES CREEK, TN 37189-9189
(615) 876-2754
Mailing address
658 PEMBERTON DR, LEBANON, TN 37087-7652
(731) 394-0509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4649
TN
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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