Provider Demographics
NPI:1740533983
Name:PITTENGER, ABBY ELIZABETH (DPT)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:ELIZABETH
Last Name:PITTENGER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6480 HARRISON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7961
Mailing Address - Country:US
Mailing Address - Phone:513-818-0043
Mailing Address - Fax:513-964-9575
Practice Address - Street 1:2355 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-8484
Practice Address - Country:US
Practice Address - Phone:937-703-9001
Practice Address - Fax:937-703-9003
Is Sole Proprietor?:No
Enumeration Date:2012-10-25
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6879225100000X
OHPT013717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist