Provider Demographics
NPI:1225332620
Name:PITTS, ANDREA A (PT,DPT,CLT,ATC)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:A
Last Name:PITTS
Suffix:
Gender:F
Credentials:PT,DPT,CLT,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 ELKINS AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1204
Mailing Address - Country:US
Mailing Address - Phone:267-252-7610
Mailing Address - Fax:
Practice Address - Street 1:830 ELKINS AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1204
Practice Address - Country:US
Practice Address - Phone:267-252-7610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018043225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist