Individual
TESSA CAMILLE PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 MCLIN HOLLOW RD, ROSE HILL, VA 24281-8275
(865) 585-8595
Mailing address
1250 MCLIN HOLLOW RD, ROSE HILL, VA 24281-8275
(865) 585-8595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T66419058
ATHLETIC TRAINING
VA
Enumeration date
02/12/2019
Last updated
02/12/2019
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