Individual
LAUREN WITSAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5101 BRITTANY DR S STE 16, SAINT PETERSBURG, FL 33715-1565
(727) 308-9848
Mailing address
215 YORK VIEW CT NW, COMSTOCK PARK, MI 49321-8926
(616) 901-0073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
084581
MI
225X00000X
Occupational Therapist
Primary
OT19866
FL
Other
Enumeration date
11/26/2018
Last updated
09/10/2019
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