Healthcare Provider Details

I. General information

NPI: 1841771250
Provider Name (Legal Business Name): ERIN BRITNEY DOS SANTOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 MCCALLIE AVE STE 100
CHATTANOOGA TN
37404-2927
US

IV. Provider business mailing address

1400 MCCALLIE AVE STE 100
CHATTANOOGA TN
37404-2927
US

V. Phone/Fax

Practice location:
  • Phone: 423-531-6961
  • Fax:
Mailing address:
  • Phone: 423-531-6961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7021
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: