Individual
PATTI WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3582
Mailing address
600 E ROOSEVELT ST, APPLETON, WI 54911-3744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5010-27
WI
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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