Individual
MAKAYLA DAWN WITTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E BROADWAY ST, LOOGOOTEE, IN 47553-1708
(812) 709-3286
Mailing address
9502 E 400 N, LOOGOOTEE, IN 47553-5439
(812) 259-1002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007910A
IN
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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