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MR. CORINTHUS OMARI PITTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD

Contact information

Practice address
2819 RIDGELAKE DR, GRAND PRAIRIE, TX 75054-6526
(601) 502-7857
Mailing address
2819 RIDGELAKE DR, GRAND PRAIRIE, TX 75054-6526
(601) 502-7857

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117663
TX
225X00000X
Occupational Therapist
2917
MS

Other

Enumeration date
12/20/2014
Last updated
07/10/2024
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