Individual
AMANDA JOY PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1129 TOTEROS DRIVE, WAXHAW, NC 28173
(704) 649-4509
Mailing address
431 GLOUCESTER FERRY RD, GREENVILLE, SC 29607-3569
(404) 313-4562
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12353
NC
225XP0200X
Pediatric Occupational Therapist
5497
SC
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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