Individual
MRS. PAMELA MARY TUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, CHT
Contact information
Practice address
1520 SUNDAY DR STE 105, RALEIGH, NC 27607-5254
(919) 420-1682
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13470
NC
225XH1200X
Hand Occupational Therapist
2278
FL
225XH1200X
Hand Occupational Therapist
OT005043
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z0187
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/28/2005
Last updated
10/07/2024
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