Individual
MRS. ANGELA MARIE PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
3009 SUMMERWOOD DR, SPRINGFIELD, IL 62712-5862
(217) 529-1618
(217) 529-1618
Mailing address
3009 SUMMERWOOD DR, SPRINGFIELD, IL 62712-5862
(217) 529-1618
(217) 529-1618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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