Individual
LOUIE DENNIS PITCOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
2235 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-5024
(270) 781-1151
(270) 781-5990
Mailing address
2235 RUSSELLVILLE RD, BOWLING GREEN, KY 42101-5024
(270) 781-1151
(270) 781-5990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004220
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244257
ANTHEM
KY
01
—
7317410
AETNA
—
05
—
87000964
—
KY
Enumeration date
06/24/2005
Last updated
06/17/2013
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