Pittman, Holly

Pittman, Holly is an individual health care provider with primary practice located at 1901 Mission 66 Suite A, Vicksburg MS 39180-3711. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Pittman, Holly can be contacted via phone (601) 638-4076.

Contact Information

Primary practice address
1901 Mission 66 Suite A Vicksburg MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 638-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 1399 Mississippi

Profile Details

NPI number 1225107790
LBN Legal business name Pittman, Holly
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225107790 NPPES
Mississippi MEDICAID 09483514

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