Provider Demographics
NPI:1174414106
Name:PITMAN, VICTORIA ANNE (OTD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANNE
Last Name:PITMAN
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 LONG POINT RD STE 270
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7932
Mailing Address - Country:US
Mailing Address - Phone:843-884-4783
Mailing Address - Fax:843-884-1979
Practice Address - Street 1:570 LONG POINT RD STE 270
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7932
Practice Address - Country:US
Practice Address - Phone:843-884-4783
Practice Address - Fax:843-884-1979
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC.7612225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist