Individual
VANESSA DANA GUNA PANDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1209 CHASE LN, KENNETT, MO 63857-1540
(573) 888-0682
Mailing address
1209 CHASE LN, KENNETT, MO 63857-1540
(573) 888-0682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004018574
MO
225X00000X
Occupational Therapist
OT0000003773
TN
225X00000X
Occupational Therapist
OTR1908
AR
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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