Individual
MS. ELIZABETH RAYE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
603 N GRAND AVE, TAHLEQUAH, OK 74464-2302
(580) 370-8446
Mailing address
983 E CARDINAL RD APT 203, TAHLEQUAH, OK 74464-2978
(580) 370-8446
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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