Individual
MICHAEL D PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
499 GLOSTER CREEK VLG STE F5, TUPELO, MS 38801-4631
(662) 841-0551
(662) 841-0554
Mailing address
2122 YORK RD STE 30, OAK BROOK, IL 60523-1930
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3972
MS
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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