NPI 1063773729

Jenetta Pitts

Practitioner Physical Therapy Assistant Avon, IN

Practice location

Address: 6551 Granny Smith Ln, Avon, IN 46123-7501
Phone: (812) 564-2510

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 99051833A (IN)

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Registry record

NPI: 1063773729
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2012
Record last updated: 30 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.