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Individual

JACQUELYN PITTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12151 W 136TH ST, APT#632, OVERLAND PARK, KS 66221-7402
(785) 317-4799
Mailing address
12151 W 136TH ST, APT#632, OVERLAND PARK, KS 66221-7402
(785) 317-4799

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
305403
KS

Other

Enumeration date
09/24/2013
Last updated
09/24/2013
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