Provider Demographics
NPI:1366089385
Name:PITMAN, OLIVIA CLAIRE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:CLAIRE
Last Name:PITMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:PITMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:115 WOODMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2280
Mailing Address - Country:US
Mailing Address - Phone:615-383-7303
Mailing Address - Fax:
Practice Address - Street 1:115 WOODMONT BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2280
Practice Address - Country:US
Practice Address - Phone:615-383-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4926225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist