Individual
NICOLE BRIANNA PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 E JEFFERSON AVE, DETROIT, MI 48207-4129
(313) 259-7990
Mailing address
21920 HARDING ST, OAK PARK, MI 48237-2540
(248) 761-9197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006068
MI
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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