Individual
MS. MICHELE MARIE PITTENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(888) 544-5373
Mailing address
301 W FOURTH ST, FLORENCE, NJ 08518-1905
(732) 682-9375
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QB00293500
NJ
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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