Individual
TERESA LORRAINE D'AVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
311 CONGRESS PKWY N STE 800, ATHENS, TN 37303-1697
(423) 744-0890
(423) 744-0849
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT005234
GA
225X00000X
Occupational Therapist
Primary
OT3977
TN
Other
Enumeration date
09/24/2010
Last updated
03/26/2019
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