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Individual

JEANETTE C PITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
924 TOWN CTR, NEW BRITAIN, PA 18901-5182
(215) 340-2216
Mailing address
393 TOWNSHIP LINE RD, CHALFONT, PA 18914-1428
(215) 340-2216

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC000928L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01525923
PA
01
30013760
KEYSTONE MERCY HEALTH PLA
PA
01
757591
BLUE CROSS BLUE SHIELD
PA
Enumeration date
03/28/2006
Last updated
04/28/2009
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