Individual
OLIVIA CARINE WITZANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12926 W 71ST ST S, SAPULPA, OK 74066-8107
(918) 845-7006
Mailing address
12926 W 71ST ST S, SAPULPA, OK 74066-8107
(918) 845-7006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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