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1194161075
HEATHER LYNN CHANSUTHUS
ANTIOCH, TN
NPI
1194161075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 408395)
Enumeration Date
2013-05-17
Last Update Date
2013-05-17
Business Address
Mrs. HEATHER LYNN CHANSUTHUS COTA/L
1113 SHALLOWBROOK TRL S
ANTIOCH, TN 37013-2468
Phone number: 615-487-1711
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Mailing Address
Mrs. HEATHER LYNN CHANSUTHUS COTA/L
1113 SHALLOWBROOK TRL S
ANTIOCH, TN 37013-2468
Phone number: 615-487-1711
Copy
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