Individual
CONNIE PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
501 N WOODBURN DR, DOTHAN, AL 36303-1995
(334) 794-1000
Mailing address
575 SANDSTONE DR, DOTHAN, AL 36303-7307
(334) 805-4820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6201
AL
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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