Provider Demographics
NPI:1740887066
Name:HOLLAND, BRITTANY DEANN (OTA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DEANN
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 E EMORY RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-4617
Mailing Address - Country:US
Mailing Address - Phone:865-859-9973
Mailing Address - Fax:865-859-9773
Practice Address - Street 1:980 E EMORY RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938-4617
Practice Address - Country:US
Practice Address - Phone:865-859-9973
Practice Address - Fax:865-859-9773
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3341224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant