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NPI Code Detail

MEDICARE: MRS. KATHY R PITTS OT

MEDICARE: MRS. KATHY R PITTS OT
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 TherapistOT3288FL
2225X00000XOccupational Therapist303644LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1593372143OTHERFLTHERAPY ONE REHABILITATION CENTER

General Provider Information

NPI Number : 1720114523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHY R PITTS OT
Provider Business Mailing Address
First Line : 3210 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4224
Country : US
Telephone Number : 850-763-0603
Fax Number : 850-769-5914
Provider Business Practice Location Address
First Line : 3210 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4224
Country : US
Telephone Number : 850-763-0603
Fax Number : 850-769-5914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 12/29/2021

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Directions to “ MRS. KATHY R PITTS OT” Practice Location

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