Individual
MADELEINE PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
8219 CHANCELLOR DR, COLORADO SPRINGS, CO 80920-7009
(814) 779-9265
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC012862
PA
225X00000X
Occupational Therapist
Primary
OT.0005275
CO
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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