Individual
STEPHANIE ANN PITNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1315 NW 4TH ST, STE B TA1 CENTRAL OREGON REDMOND, REDMOND, OR 97756-1328
(541) 923-7494
(541) 504-9153
Mailing address
11481 SW HALL BLVD, STE 201 THERAPEUTIC ASSOCIATES INC, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11 02534
KS
225100000X
Physical Therapist
Primary
3836
OR
225100000X
Physical Therapist
4262
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181484
—
OR
Enumeration date
12/07/2005
Last updated
07/08/2007
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