Individual
KATHLEEN ALICE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 EDMONSON PIKE, STE 103, NASHVILLE, TN 37211-5872
(615) 831-1710
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3622
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4318494
BCBS OF TENNESSEE
TN
Enumeration date
01/20/2012
Last updated
03/16/2012
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