Individual
DORA M HUTCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.,L.
Contact information
Practice address
143 ROSEWOOD CIR, ELIZABETHTON, TN 37643-6628
(423) 895-1046
(423) 547-3093
Mailing address
143 ROSEWOOD CIR, ELIZABETHTON, TN 37643-6628
(423) 895-1046
(423) 547-3093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000001288
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z241
WAIVER SITE CODE
TN
Enumeration date
02/05/2007
Last updated
07/08/2007
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