Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 19134 | CA |
Y | 225XH1200X | Occupational Therapist - Hand | 6373 | TN |
NPI | 1063993095 |
---|---|
Provider Name | Ms. Erin Chaffee |
First Address | Knoxville, TN 37930-2569 |
Second Address | Murfreesboro, TN 37129-2568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2018 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q056257 | (05) | TN |