Provider Demographics
NPI:1801974134
Name:PITTENGER, MARGARET JEAN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JEAN
Last Name:PITTENGER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 VALLEY PARK PL
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5110
Mailing Address - Country:US
Mailing Address - Phone:205-967-6975
Mailing Address - Fax:205-967-6975
Practice Address - Street 1:3234 VALLEY PARK PL
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-5110
Practice Address - Country:US
Practice Address - Phone:205-967-6975
Practice Address - Fax:205-967-6975
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51527352OtherBCBS
AL051527352Medicare ID - Type Unspecified
AL51527352OtherBCBS