Individual
KATHLEEN MARY PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1230 TAYLOR LANE EXT, LEHIGH ACRES, FL 33936-6159
(239) 303-0957
Mailing address
1230 TAYLOR LANE EXT, LEHIGH ACRES, FL 33936-6159
(239) 303-0957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA19724
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/27/2010
Last updated
01/27/2010
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