Individual
JENETTA PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6551 GRANNY SMITH LN, AVON, IN 46123-7501
(812) 564-2510
Mailing address
6551 GRANNY SMITH LN, AVON, IN 46123-7501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
99051833A
IN
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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