Individual
AMIRAH PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
545 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3390
(678) 773-2569
Mailing address
6796 EDMONTON CT, LITHONIA, GA 30058-6062
(678) 773-2569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007884
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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