Individual
SUSAN ANISSA HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2215 CALLIS RD, LEBANON, TN 37090
(615) 443-4445
Mailing address
9300 DEL THOMAS RD, SMYRNA, TN 37167
(615) 220-0261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1567
TN
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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