Individual
MS. OLIVIA R PITCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
104 NANCY COX DR, CAMPBELLSVILLE, KY 42718-6834
(270) 465-8508
Mailing address
70 HAYWOOD CEDAR GROVE RD, GLASGOW, KY 42141-8490
(270) 646-0834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03516
KY
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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