Individual
MRS. JENNIFER VANDAL PITASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PCS
Contact information
Practice address
169 ASHLEY AVE RM 398 3 SW, PHYSICAL THERAPY DEPT, CHARLESTON, SC 29425
(843) 792-3481
(843) 792-0724
Mailing address
169 ASHLEY AVE RM 398 3 SW, PO BOX 250350, CHARLESTON, SC 29425
(843) 792-3481
(843) 792-0724
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1991
SC
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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