Individual
MRS. DEANNE ELISABETH HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1500 W POPLAR AVE, COLLIERVILLE, TN 38017-0601
(901) 861-8818
Mailing address
10824 WHISPER HOLLOW CV, COLLIERVILLE, TN 38017-8505
(901) 850-8868
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3596
TN
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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