Individual
ANGELA PITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S 6TH ST, BRAINERD, MN 56401-4529
(218) 825-7379
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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