Healthcare Provider Details
I. General information
NPI: 1316900251
Provider Name (Legal Business Name): JAMES A PITMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/11/2006
Last Update Date: 04/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
924 TOWN CTR
NEW BRITAIN PA
18901-5182
US
IV. Provider business mailing address
393 TOWNSHIP LINE RD
CHALFONT PA
18914-1428
US
V. Phone/Fax
- Phone: 215-340-2216
- Fax:
- Phone: 215-340-2216
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT001147E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: