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NPI Code Detail

MEDICARE: KATHERINE ANN PITOU OTR

MEDICARE: KATHERINE ANN PITOU OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT004392OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1111390OTHERTXTX LICENSE
2OT004392OTHEROHOH LICENSE

General Provider Information

NPI Number : 1053602144
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANN PITOU OTR
Provider Business Mailing Address
First Line : 965 HIGH ST
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-4057
Country : US
Telephone Number : 614-784-0400
Fax Number : 614-784-0401
Provider Business Practice Location Address
First Line : 965 HIGH ST
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-4057
Country : US
Telephone Number : 614-784-0400
Fax Number : 614-784-0401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 01/19/2024

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Directions to “ KATHERINE ANN PITOU OTR” Practice Location

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