Individual
DEBORAH DIANA BITTENBENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Contact information
Practice address
1173 ROCK SPRINGS RD STE 105, SMYRNA, TN 37167-8414
(579) 622-0615
Mailing address
307 BROWNTOWN RD, CHATTANOOGA, TN 37415-2002
(423) 364-1560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5690
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
398523
NATIONAL BOARD OF OCCUPATIONAL THERAPY CERTIFICATION NUMBER
—
01
—
5960
TN BOARD OF OT LICENSURE NUMBER
TN
Enumeration date
08/17/2018
Last updated
08/17/2018
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