Mrs Kimberly Anne Pitman, | |
15800 Shadybrook Dr, Jones, OK 73049-8884 | |
(405) 203-1779 | |
(405) 396-8277 |
Full Name | Mrs Kimberly Anne Pitman |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 15800 Shadybrook Dr, Jones, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285890962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 965 (Oklahoma) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1598332173 PECOS PAC ID: 2163339722 Enrollment ID: O20211026000517 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly Anne Pitman, 15800 Shadybrook Dr, Jones, OK 73049-8884 Ph: (405) 203-1779 | Mrs Kimberly Anne Pitman, 15800 Shadybrook Dr, Jones, OK 73049-8884 Ph: (405) 203-1779 |
Ms. Sarah Lawanda Mitchener, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8501 Ne 129th St, Jones, OK 73049 Phone: 405-919-2026 Fax: 888-547-5376 | |
Paula Lee Mckelvey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8111 Ne 129th St, Jones, OK 73049 Phone: 405-771-5828 | |
Jennifer Fitzpatrick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14700 Sharon Springs Dr, Jones, OK 73049 Phone: 405-623-9178 |