Individual
ANDREW PITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 ELM ST, CARSON CITY, NV 89703-4908
(775) 881-8074
Mailing address
615 ELM ST, CARSON CITY, NV 89703-4908
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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