Individual
KRISTINA PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4740 AVERY LN SE, LACEY, WA 98503-5603
(360) 491-1815
(360) 491-1654
Mailing address
4740 AVERY LN SE, LACEY, WA 98503-5603
(360) 491-1815
(360) 491-1654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60291789
WA
Other
Enumeration date
09/11/2012
Last updated
11/20/2013
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