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NPI 1780764795

NPI 1780764795 : KATHLEEN ANN PITT DSC, OTR/L, CHT : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1780764795
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN ANN PITT DSC, OTR/L, CHT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    08/03/2018
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Provider Practice Location Address
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    Address Line         |    11601 W HWY 290 STE A-102 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78737
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    Country              |    US
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    Telephone            |    737-300-9980
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    Fax                  |    737-300-9981
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Provider Business Mailing Address
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    Address Line         |    12508 JONES MALTSBERGER RD STE 110 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78247-4215
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    Country              |    US
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    Telephone            |    885-904-0028
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    Fax                  |    210-590-4585
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    1072788
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    1277971
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    License Number State |    TX
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