Healthcare Provider Details

I. General information

NPI: 1457564619
Provider Name (Legal Business Name): PITTENGER THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3234 VALLEY PARK PL
BIRMINGHAM AL
35243-5110
US

IV. Provider business mailing address

3234 VALLEY PARK PL
BIRMINGHAM AL
35243-5110
US

V. Phone/Fax

Practice location:
  • Phone: 205-967-6975
  • Fax:
Mailing address:
  • Phone: 205-967-6975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPTH653
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPTH653
License Number StateAL

VIII. Authorized Official

Name: MARGARET JEAN PITTENGER
Title or Position: OWNER
Credential: PHYSICAL THERAPIST
Phone: 205-967-6975