Individual
MS. TAYLOR DEEANNE PITCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
180 W BROOKS ST NORMAN OK 1335-1, NORMAN, OK 73019-0001
(832) 344-6352
(405) 325-8388
Mailing address
1300 STEAMBOAT WAY # 1335-1, NORMAN, OK 73071-7197
(832) 344-6352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1132
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1132
LAT
OK
Enumeration date
01/28/2020
Last updated
01/28/2020
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