Individual
KYLE S PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3535
Mailing address
410 TAYLOR ST NE, APT B-21, WASHINGTON, DC 20017-1541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206005
VA
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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