Individual
MRS. COURTNEY PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATION THERAPIST
Contact information
Practice address
5819 WINDING LN STE 101, HIXSON, TN 37343-4067
(423) 645-2746
Mailing address
5819 WINDING LN STE 105, HIXSON, TN 37343-4067
(423) 645-2746
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4676
TN
225X00000X
Occupational Therapist
OT003962
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516681
—
TN
05
—
936250461F
—
GA
Enumeration date
12/01/2006
Last updated
10/19/2022
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