CHANAE COTTRELL-PRATT

PORT ST LUCIE, FL
NPI1508638057
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9117794)
Additional Taxonomies363A00000X Physician Assistant
363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9117794)
Enumeration Date2023-10-27
Last Update Date2024-10-11
Business Address
CHANAE COTTRELL-PRATT
10080 SW INNOVATION WAY
PORT ST LUCIE, FL 34987-2127
Phone number: 772-344-3811
Mailing Address
CHANAE COTTRELL-PRATT
10014 WHITE BLUFF RD APT 1503
SAVANNAH, GA 31406-5605
Phone number: 801-616-8236