Individual
DEBORAH M WITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 CHAMBERS RD, FERGUSON, MO 63135-2133
(314) 522-8100
Mailing address
711 VILLAGE SQUARE DR, HAZELWOOD, MO 63042-3313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2004023372
MO
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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