Healthcare Provider Details

I. General information

NPI: 1851653653
Provider Name (Legal Business Name): REBECCA LYNN DUNSTON OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6698 PALMS CT
CHATTANOOGA TN
37421-2278
US

IV. Provider business mailing address

1488 SINCLAIR AVE
CHATTANOOGA TN
37408-3125
US

V. Phone/Fax

Practice location:
  • Phone: 423-250-9435
  • Fax:
Mailing address:
  • Phone: 423-504-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT0000004081
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: