Individual
MRS. JENNIFER MARIE PITLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3200 WESTOWN PKWY, WEST DES MOINES, IA 50266-1110
(515) 266-1212
Mailing address
415 SE CARDINAL LN, WAUKEE, IA 50263-9681
(319) 404-0972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004245
IA
Other
Enumeration date
11/08/2009
Last updated
05/30/2013
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