| Doctor Name: | PHYLLIS NESSELL DENTON |
| NPI Number: | 1164765939 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | OT2411 |
| Business Practice Address: | 1851 Shoreline Trce Grayson, GA - 300171166 |
| Business Phone Number: | 7706961358 |
| Business Fax Number: | |
| Mailing Address: | 1851 Shoreline Trce, GRAYSON |
| State: | GA |
| Postal Code: | 300171166 |
| Phone Number: | 7706961358 |
| Fax Number: | |
| NPI Enumeration Date: | 03/31/2013 |
| NPI Last Update Date: | 03/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OT2411 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |