Individual
TATUM PITKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
607 NEBRASKA ST, EMERSON, NE 68733-3627
(402) 695-2683
Mailing address
607 NEBRASKA ST, EMERSON, NE 68733-3627
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1504
NE
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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