Individual
STEVEN G WITTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22659 PACIFIC HWY S, DES MOINES, WA 98198-5155
(206) 824-3668
(206) 824-3964
Mailing address
27431 12TH PL S, DES MOINES, WA 98198-9418
(253) 838-2464
(253) 838-4991
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00002055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15613
DEPT OF LABOR & INDUSTRIE
WA
05
—
8378366
—
WA
Enumeration date
07/05/2005
Last updated
07/09/2007
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