Individual
AMANDA JEAN BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
307 N 5TH ST, MARYVILLE, TN 37804-2921
(865) 983-0261
Mailing address
PO BOX 5477, MARYVILLE, TN 37802-5477
(865) 983-0261
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000002563
TN
Other
Enumeration date
07/14/2008
Last updated
04/26/2025
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