| Doctor Name: | MR. DENNIS RICHARD ITTENBACH |
| NPI Number: | 1548360472 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MS |
| License Number: | 4852 |
| Business Practice Address: | 460 William Hilton Pkwy Ste D Hilton Head, SC - 299262497 |
| Business Phone Number: | 8433425700 |
| Business Fax Number: | 8433425702 |
| Mailing Address: | 8 Hospital Center Blvd, Ste 250 HILTON HEAD |
| State: | SC |
| Postal Code: | 299268700 |
| Phone Number: | 8436717342 |
| Fax Number: | 8436717343 |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |