Individual
KAYLA PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1525 HERBERT ST STE 103, PORT ORANGE, FL 32129-6107
(386) 756-0424
Mailing address
1530 GUINEVERE DR, CASSELBERRY, FL 32707-3939
(863) 843-0040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30299
FL
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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