Individual
MRS. JOLENA PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7830 BRUTON DR, APT # A, GLEN BURNIE, MD 21060-8002
(443) 414-7419
Mailing address
7830 BRUTON DR, APT # A, GLEN BURNIE, MD 21060-8002
(443) 414-7419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01888
MD
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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