Healthcare Provider Details

I. General information

NPI: 1114856085
Provider Name (Legal Business Name): ALLISON ANNE CENTER OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6698 PALMS CT
CHATTANOOGA TN
37421-2278
US

IV. Provider business mailing address

3822 INLET LOOP
CHATTANOOGA TN
37416-3090
US

V. Phone/Fax

Practice location:
  • Phone: 423-607-8898
  • Fax:
Mailing address:
  • Phone: 423-343-6572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7645
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: