Provider Demographics
NPI:1679714588
Name:BATTLES, DENISE MICHELLE (OTR)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MICHELLE
Last Name:BATTLES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 HUNTCLIFF TRCE
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-8425
Mailing Address - Country:US
Mailing Address - Phone:770-577-5307
Mailing Address - Fax:
Practice Address - Street 1:7501 AUDEN TRL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-5002
Practice Address - Country:US
Practice Address - Phone:770-394-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT003067225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist