Individual
KATHLEEN M PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3831 HUGHES AVE, 506, CULVER CITY, CA 90232-2751
(310) 280-9670
(310) 280-9675
Mailing address
3831 HUGHES AVE, 506, CULVER CITY, CA 90232-2751
(310) 280-9670
(310) 280-9675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT838
LICENSE
CA
Enumeration date
11/20/2007
Last updated
11/20/2007
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