Organization
FALL INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HILLARY B PITTMAN D.C. (OWNER)
(386) 341-4310
Entity
Organization
Contact information
Practice address
196 PHOENETIA DR, ST AUGUSTINE, FL 32086-7313
(386) 341-4310
Mailing address
196 PHOENETIA DR, ST AUGUSTINE, FL 32086-7313
(386) 341-4310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 11294
FL
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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