Provider Demographics
NPI:1306642269
Name:PITMAN, CAROLINA ANDREA (COTA/L)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:ANDREA
Last Name:PITMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:ANDREA
Other - Last Name:ZANETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:62 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1066
Mailing Address - Country:US
Mailing Address - Phone:781-353-4331
Mailing Address - Fax:
Practice Address - Street 1:62 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1066
Practice Address - Country:US
Practice Address - Phone:781-353-4331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4995224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant