Individual
DARRELL B BITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11186 HIGHWAY 142 N, COVINGTON, GA 30014-2547
(678) 712-3692
(678) 712-3693
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003594
GA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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