Individual
REIS WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 605-5979
Mailing address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2026007318
MO
Other
Enumeration date
02/14/2026
Last updated
02/18/2026
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