Individual
ANITA PITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 W 3RD ST, DAYTON, OH 45417-2537
(937) 263-8176
Mailing address
1818 W 3RD ST, DAYTON, OH 45417-2537
(937) 263-8176
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093814
—
OH
Enumeration date
01/30/2020
Last updated
01/30/2020
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