Individual
ARIEL PITTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 CORPORATE PARK DR, CLAYTON, MO 63105-4201
(314) 725-7447
Mailing address
1045 E 12TH ST, DOUGLAS, AZ 85607-1939
(520) 345-1300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014269
AZ
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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